Dental Nightmare: Cases of Patients Swallowing Dental Crowns and Bridges

Introduction

Working in the dental field, witnessing rare and concerning incidents can often be part of the job. Two such incidents involve patients accidentally swallowing dental crowns and bridges during procedures. This article aims to highlight these events and discuss preventive measures to ensure patient safety.

Frightening Incidents

Over the past year, I've experienced two incidents where patients inadvertently ingested dental crowns and bridges. The first incident occurred just a couple of days after the installation of a permanent crown, and the second involved a large bridge that needed removal. Both patients were elderly, anxious individuals, making the situation even more challenging.

Case 1: The Swallowed Crown

A few days after installing a permanent crown, a patient noticed it had disappeared and later discovered it in their feces. I recall the incident vividly: it happened in the summer, when an elderly, anxious woman swallowed a large bridge that we had just started removing to replace a fractured porcelain one. The bridge was not attached to one of the teeth, and it fell out when I attempted to remove the other side with precision. Despite the initial shock and worry, both patients eventually passed the retained items without serious complications.

Case 2: The Accidental Swallow

The second incident was particularly harrowing. I was working on a posterior implant crown that was very slippery. Suddenly, the patient’s tongue knocked it out of my hand, and it immediately went down her throat. The situation was terrifying, but fortunately, she was able to pass the crown without significant issues. After each case, I called my malpractice insurance provider and involved the necessary medical professionals to ensure proper caution and response.

Preventive Measures

To prevent such incidents from happening to other patients, dental professionals must adhere to strict safety protocols. The use of a gauze drape or a rubber dam during procedures is essential. These tools not only protect the patient but also safeguard the dental team. Moreover, maintaining a calm and reassuring demeanor, especially when dealing with anxious patients, can help manage their anxiety and minimize the risk of unexpected accidents.

Using Dental Drapes and Rubber Dam

Dental drapes, often made of gauze, are used to shield the area of the mouth being worked on, preventing the spread of bacteria and foreign objects. A rubber dam, on the other hand, is a flexible sheet that isolates the targeted area, protecting the patient from swallowing or inhaling small pieces of the dental work. Both tools are crucial in maintaining a sterile environment and ensuring the safety of the patient and the dental practitioner.

Post-Procedure Care and Communication

Post-procedure care and communication are equally important. After extracting a crown or bridge, dental professionals should ensure that patients are aware of any potential items they may have swallowed. They should also keep a close eye on the patient's condition and be ready to intervene if necessary. Regular follow-ups can help identify any issues early on, ensuring that patients receive the appropriate care and support.

Conclusion

While dental malpractice can occur, it is crucial for dental professionals to remain vigilant and follow all safety protocols to minimize these risks. By deploying preventive measures such as gauze drapes and rubber dams, and maintaining open lines of communication, we can significantly reduce the chance of patients swallowing dental crowns or bridges. The experience of dealing with these incidents has reinforced the importance of thoroughness and constant awareness in the dental field.