West China School of Stomatology, Sichuan University, Chengdu, China.
Department of Restorative Dentistry, Temple University Kornberg School of Dentistry, Philadelphia, PA.
J Prosthodont. 2018 Jul;27(6):492-495. doi: 10.1111/jopr.12711. Epub 2017 Nov 16.
Accidental aspiration or ingestion can occur in dental treatment, as most procedures are performed with the patient in a supine position or semi-recumbent position. Aspiration of foreign bodies commonly causes acute symptoms such as violent coughing, choking, and dyspnea; however, if foreign bodies are stuck distally to the lower lobe bronchi or the bronchus intermedius, acute presentation can be rare. This clinical report documents a 68-year-old male patient who accidentally aspirated an all-zirconia crown during the try-in procedure. The case was initially surmised as ingestion. The crown remained in the lower lobe of the left lung for about 2 years without any significant symptoms. This report cautions the importance of airway protection during dental procedures.
在牙科治疗中,可能会发生意外吸入或咽下异物的情况,因为大多数操作都是在患者仰卧位或半卧位下进行的。异物吸入通常会引起剧烈咳嗽、窒息和呼吸困难等急性症状;然而,如果异物卡在下叶支气管或中间支气管的远端,急性表现可能很少见。本临床报告记录了 1 例 68 岁男性患者,在试戴过程中意外吸入全氧化锆冠。最初推测为咽下。该冠在左肺下叶停留了大约 2 年,没有任何明显症状。本报告提醒在牙科操作过程中注意气道保护的重要性。