Ece ÇALIŞKAN, Hafiz Hande GÜRBÜZ, Rüştü DAĞLAROĞLU, Raif ERİŞEN

Rubberdam Clamp Ingestion During Root Canal Treatment: A

Herhangi bir yabancı cismin aspirasyonu veya yemek borusuna kaçması, kanal tedavisi sırasında olabilecek en önemli ve talihsiz kazalardandır. Bunu önlemek için ‘rubber dam’ kullanmak çok önemlidir. Yabancı cisim, özofagustan veya gastrointestinal sistemden geçerek peritonite sebep olabilir hatta ölüme yol açabilir. Bu vaka raporunda hastanın alt sağ 2. Büyük azı dişine yapılan kanal tedavisi sırasında; rubber dam klambini yutması sunulmuştur. 51 yaşında erkek hasta, kanal tedavisinden sonra; özofagus bölgesinde ağrı ve tıkanma hissiyle Kulak Burun Boğaz Hastalıkları Bölümüne başvurmuştur. Alınan göğüs radyografisinde, hastanın yuttuğu yabancı cismin özofagusunda olduğu gözlenmiştir. Özofagusta bulunan rubber dam klambi, genel anestezi altında alınmış ve hasta 4 gün müşadede kalmıştır

Anahtar Kelimeler:

rubber dam, yabancı cisim yutulması, vaka raporları

Rubberdam Clamp Ingestion During Root Canal Treatment: A

Foreign body ingestion and aspiration is probably one of the most serious accidents that may occur during root canal treatment. To prevent such a danger, rubber dam isolation is mandatory. Clinically, when a foreign body is ingested, the results may vary from esophageal or gastric ruptures to peritonitis or even death. This article presents a case of rubber dam clamp ingestion during the endodontic treatment of lower right second molar. 51-year old male patient experienced a feeling of obstruction and pain in the esophageal region; he was immediately presented to otolaryngology department. Posteroanterior chest graphy showed the foreign body in esophagus. Clamp was removed under general anesthesia via esophagoscope and patient was hospitalized for 4 days

Keywords:

rubber dam, foreign body ingestion, case reports,

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[1] European Society of Endodontology. Consensus report of theEuropean Society of Endodontology on quality guidelines for endodontic treatment. Int Endod J 1994;27,115-24
[2] Ahmad IA. Rubber dam usage for endodontic treatment: a review. Int Endod J 2009;42,963–72.
[3] Susini G, Pommel L, Camps J. Accidental ingestion and aspiration of root canal instruments and other dental foreign bodies in a French population. Int Endod J. 2007;40,585–9.
[4] Saha S, Bose A. Perils of Prolonged Impaction of Oesophageal Foreign Bodies. ISRN Surg 2011 ; ;2011:621682. doi: 10.5402/2011/621682
[5] Tiwana KK, Morton T, Tiwana PS. Aspiration and ingestion in dental practice: a 10- year institutional review. J Am Dent Assoc 2004 ;135:1287-91.
[6] Govila CP. Accidental swallowing of an endodontic instrument. A report of two cases. Oral Surg , Oral Med , Oral Pathol 1979;48, 269–71.
[7] Sarah L.W. Sperry, BA,Seth D. Crockett, MD, MPH,C. Brock Miller, MD, Nicholas J. Shaheen, MD, MPH, Evan S. Dellon, MD, MPH Esophageal foreign-body impactions: epidemiology, time trends, and the impact of the increasing prevalence of eosinophilic esophagitis. Gastrointest Endosc 2011;74:985-91.