Venkataraghavan Karthik, Anantharaj A, Praveen P, Rani S Prathibha, Krishnan B Murali
Department of Pediatric and Preventive Dentistry, D.A. Pandu Memorial R.V. Dental College, Bangalore, India.
Saudi Dent J. 2011 Oct;23(4):177-81. doi: 10.1016/j.sdentj.2010.10.007. Epub 2010 Nov 9.
One of the serious complications during a routine endodontic procedure is accidental ingestion/aspiration of the endodontic instruments, which can happen when proper isolation is not done. There are at present no clear guidelines whether foreign body ingestion in the gastrointestinal tract should be managed conservatively, endoscopically or surgically. A 5 year old boy reported to the Department of Pediatric and Preventive Dentistry, D.A. Pandu Memorial R.V. Dental College, Bangalore, India, with a complaint of pain and swelling in the lower right back teeth region. Endodontic therapy was planned for the affected tooth. During the course of treatment the child accidentally swallowed a 21 mm 15 size K file. Endoscopy was performed immediately but the instrument could not be retrieved. The instrument passed out uneventfully along with the stools 48 h after ingestion. Careful evaluation of the patient immediately after the accident helps in managing the patient effectively along with following the recommended guidelines.
常规牙髓治疗过程中的严重并发症之一是意外吞入/吸入牙髓治疗器械，当未进行适当隔离时就可能发生这种情况。目前对于胃肠道内异物吞入应采用保守治疗、内镜治疗还是手术治疗尚无明确指南。一名5岁男孩前往印度班加罗尔D.A.潘杜纪念R.V.牙科学院儿童与预防牙科系就诊，主诉右下后牙区域疼痛和肿胀。计划对患牙进行牙髓治疗。在治疗过程中，患儿意外吞下了一根21毫米长的15号K锉。立即进行了内镜检查，但未能取出器械。该器械在吞入后48小时随粪便顺利排出。事故发生后立即对患者进行仔细评估，有助于按照推荐指南有效管理患者。
