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Ingestion of a RPE activation key: Why do these accidents still happen?

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European Archives of Paediatric Dentistry Aims and scope Submit manuscript

Abstract

Aim

To draw attention and increase professional awareness about the potentially serious complications that may occur when these misfortunes happen and to what actions could be implemented to avoid such accidents.

Methods

The present case report is of an accidental ingestion of a rapid maxillary expander (RPE) activation key in a cardiac patient and the subsequent diagnostic confirmation with radiographs and the management of this accident thereafter.

Results

On the third day after the accidental ingestion of the RPE key, the patient’s parents reported that the key was expelled in the stools without further complication.

Conclusions

Ingestion of foreign bodies is a potential complication during orthodontic treatment. These types of accidents may cause serious consequences to the patient, especially if there is a pre-existing systemic condition, such as heart disease or respiratory problems.

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References

  • Allwork JJ, Edwards IR, Welch IM. Ingestion of a quadhelix appliance requiring surgical removal: a case report. J Orthod. 2007;34:154–7.

    Article  PubMed  Google Scholar 

  • Ashraf O. Foreign body in the esophagus: a review. São Paulo Med J. 2006;124:346–9.

    Article  PubMed  Google Scholar 

  • Cheng W, Tam PK. Foreign-body ingestion in children: experience with 1,265 cases. J Pediatr Surg. 1999;34:1472–6.

    Article  PubMed  Google Scholar 

  • Dibiase AT, Samuels RH, Ozdiler E, Akcam MO, Turkkahraman H. Hazards of orthodontics appliances and the oropharynx. J Orthod. 2000;27:295–302.

    Article  PubMed  Google Scholar 

  • Hass AJ. Long-term posttreatment evaluation of rapid palatal expasion. Angle Orthod. 1980;50(3):189–217.

    Google Scholar 

  • Keles A. Keles keyless expander: a new approach for rapid palatal expansion. World J Orthod. 2008;9:407–11.

    PubMed  Google Scholar 

  • Monini Ada C, Maia LG, Jacob HB, Gandini LG Jr. Accidental swallowing of orthodontic expansion appliance key. Am J Orthod Dentofac Orthop. 2011;140(2):266–8.

    Article  Google Scholar 

  • Naragond A, Kenganal S, Rajasigamani K, Kumar NS. Accidental ingestion of molar band and its management: maintenance is better than management. Case Rep Dent. 2013;2013:891304.

    PubMed  PubMed Central  Google Scholar 

  • Nazif MM, Ready MA. Accidental swallowing of orthodontic expansion appliance keys: report of two cases. ASDC J Dent Child. 1983;50:126–7.

    PubMed  Google Scholar 

  • Smith MO, Wong RKH. Foreign bodies. Gastrointest Endosc Clin N Am. 2007;17:361–82.

    Article  PubMed  Google Scholar 

  • Tiwana KK, Morton T, Tiwana PS. Aspirations and ingestion in dental practice: a 10-year institutional review. J Am Dent Assoc. 2004;135:1287–91.

    Article  PubMed  Google Scholar 

Download references

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Correspondence to M. C. G. Pantuzo.

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The authors declare that they have no conflict of interest.

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This article does not contain any studies with human participants or animals performed by any of the authors.

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Pantuzo, M.C.G., Nunes, E., Pires, L.R. et al. Ingestion of a RPE activation key: Why do these accidents still happen?. Eur Arch Paediatr Dent 18, 119–121 (2017). https://doi.org/10.1007/s40368-017-0277-9

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  • DOI: https://doi.org/10.1007/s40368-017-0277-9

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