scholarly journals Orthodontic Wire Ingestion during Treatment: Reporting a Case and Review the Management of Foreign Body Ingestion or Aspiration (Emergencies)

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Mohammad Hoseini ◽  
Seyed Morteza Saadat Mostafavi ◽  
Navid Rezaei ◽  
Ehsan Javadzadeh Boluri

Today orthodontic treatment is in growing demand and is not limited to a specific age or social group. The nature of orthodontic treatment is such that the orthodontic wires and appliances, which are used to apply force and move the teeth, are exposed to the oral cavity. Shaping and replacing these wires in oral cavity are the major assignments of orthodontist on appointments. Therefore, we can say that orthodontic treatment requires working with dangerous tools in a sensitive place like oral cavity which is the entrance of respiratory and digestive systems. In this paper, a case of ingesting a broken orthodontic wire during eating is reported, and also necessary remedial measures at the time of encountering foreign body ingestion or aspiration are provided.

Author(s):  
Mohamed Ali Sawas ◽  
Mohammed Ahmed Al Nassir ◽  
Lojain Mohammed Nayas ◽  
Meshari Nasser Alabdulkarim ◽  
Farah Youssef Faden ◽  
...  

Orthodontic treatment is usually conducted by applying forces to certain teeth to move them into a targeted position. Orthodontic wires have been reported to be the primary modalities used in fixed-appliances-based orthodontic treatment to induce favorable tooth movement events. Accordingly, acquiring adequate knowledge about these approaches' clinical applications and biochemical behavior is essential when planning for a successful orthodontic treatment. Orthodontic wires are widely used and are mainly composed of composites, polymers, alloys and metals. Accordingly, the physical properties and clinical application of orthodontic wires vary based on their composition. In this context, it was recommended that achieving favorable outcomes of orthodontic treatment obliges clinicians to decide the best orthodontic wire and treatment plan based on the chemical properties and related clinical applications of each wire. Therefore, wires that tend to produce increasing stiffness gradually are generally used. However, it should be noted that no ideal wire exists. Therefore, favoring the application of a wire over the other should be based on the intended outcomes and stage of the treatment process. 


2008 ◽  
Vol 59 (2) ◽  
pp. 195-195
Author(s):  
Y. Oka ◽  
K. Asabe ◽  
H. Kai ◽  
T. Shirakusa

2019 ◽  
Vol 10 (01) ◽  
pp. 028-032
Author(s):  
Nisar Ahmad Shah ◽  
Showkat Ahmad Kadla ◽  
Asif Iqbal Shah ◽  
Bilal Ahmad Khan ◽  
Inaam Ul Haq ◽  
...  

ABSTRACT Background and Aims: Foreign-body ingestion is a common phenomenon, especially in children. In normal adults, foreign-body ingestion is usually accidental and mostly ingestion occurs with food and impaction is a result of structural abnormalities of the upper gastrointestinal tract (UGIT). However, accidental ingestion of nonfood products is unusual; especially ingestion of pins (scarf or safety pins) and needles is unknown. We come across ingestion of these unusual/sharp foreign bodies routinely from the past few years. The aim of this study was to observe, over a period of 1 year, the spectrum of nonfood or true foreign-body ingestion in our community and to see the impact of an early endoscopy on outcome or retrieval of the ingested objects. Materials and Methods: In a prospective observational study, we studied the profile of foreign-body ingestion in normal individuals of all ages and both sexes, excluding the individuals with any structural abnormalities of the gut and the people with psychiatric ailment. Results: Of total 51 patients with foreign-body ingestion, 42 (82%) were 20 or <20 years of age with females constituting 86.3% of the total and males constituting only 13.7%. Foreign bodies ingested included 38 pins (74.5%), seven coins (13.7%), four needles (7.8%), and one denture and a nail (2%) each. Overall 26 (51%) foreign bodies were seen in UGIT (within reach of retrieval) at the time of endoscopy and all of them were retrieved. Nineteen (37.3%) patients reported within 6 h of ingestion, and majority of them (16 = 84.2%) had foreign bodies within UGIT and all of them were removed. Those patients (n = 32; 62.7%) who reported beyond 6 h, only 10 (31.25%) had foreign bodies in UGIT as a result of which the success rate of removal in these patients was only 32%. Conclusion: Most of our patients were young females and the common foreign bodies ingested were sharp including scarf pins followed by coins and needles. The success rate of retrieval was high in those who reported within 6 h of ingestion of foreign body. The rate of retrieval was 100% if foreign body was found on esophagogastroduodenoscopy. Hence, we recommend an early endoscopy in these patients and some alternative to use of scarf pins.


2017 ◽  
Vol 85 (5) ◽  
pp. AB211
Author(s):  
Simone L. Moreira ◽  
Carla L. Aluizio ◽  
Danielle P. Sampaio ◽  
Cristiane k. Nagasako ◽  
Maria de Fatima C. Servidoni ◽  
...  

Foreign body ingestion is a regular medical referral. Patients present with different objects such as chicken bones, nails, coins, and fishbones. It is usually managed in causality and passes without any intervention. However, occasionally, we come across fishbone complications requiring intervention. We discuss the course and management of two case reports of fishbone injuries in different abdominal regions.


2015 ◽  
Author(s):  
Kunal Jajoo ◽  
Allison R Schulman

Foreign-body ingestion and food bolus impaction are common causes of esophageal obstruction, with an annual incidence of 13 cases per 100,000, and represent approximately 4% of all emergency endoscopies. Although the majority of foreign bodies that travel to the gastrointestinal (GI) tract will pass spontaneously, 10 to 20% must be removed endoscopically, and 1 to 5% will require surgery. Key diagnostic and therapeutic decisions are based on common factors, including the type of ingested object, number of objects, timing between ingestion and presentation, anatomic location of the object, and presence or absence of symptoms. Complications relating to foreign-body ingestion are typically uncommon; however, the associated morbidity may be severe and occasionally life threatening, and despite the fact that overall mortality has been extremely low, it has been estimated that up to 1,500 deaths occur annually in the United States as a result of foreign-body ingestion. The initial and follow-up management strategies are crucial to preventing morbidity. This review details the epidemiology, etiology and pathophysiology, diagnosis, management, and complications of foreign-body ingestion. Figures show examples of foreign bodies in the esophagus and stomach, three esophageal areas where a foreign body is likely to be impacted, examples of a meat bolus in the esophagus, radiograph of a patient who swallowed one nail and three batteries, and examples of linear erosions of the esophagus and stomach. Tables list the most common GI pathology predisposing individuals to esophageal foreign-body impaction, timing and management of food bolus impaction and foreign-body ingestion, endoscopic management strategies for food bolus impaction and ingested foreign bodies, and radiographic and surgical management strategies for monitoring progress of foreign-body passage through the GI tract. This review contains 5 highly rendered figures, 4 tables, and 78 references.


2018 ◽  
Vol 29 (16) ◽  
pp. 3188-3198 ◽  
Author(s):  
Wissem Elkhal Letaief ◽  
Aroua Fathallah ◽  
Tarek Hassine ◽  
Fehmi Gamaoun

Thanks to its greater flexibility and biocompatibility with human tissue, superelastic NiTi alloys have taken an important part in the market of orthodontic wires. However, wire fractures and superelasticity losses are notified after a few months from being fixed in the teeth. This behavior is due to the hydrogen presence in the oral cavity, which brittles the NiTi arch wire. In this article, a diffusion-mechanical coupled model is presented while considering the hydrogen influences on the NiTi superelasticity. The model is integrated in ABAQUS finite element software via a UMAT subroutine. Additionally, a finite element model of a deflected orthodontic NiTi wire within three teeth brackets is simulated in the presence of hydrogen. The numerical results demonstrate that the force applied to the tooth drops with respect to the increase in the hydrogen amount. This behavior is attributed to the expansion of the NiTi structure after absorbing hydrogen. In addition, it is shown that hydrogen induces a loss of superelasticity. Hence, it attenuates the role of the orthodontic wire on the correction tooth malposition.


The current research compared and analysed the tensile strength of silver soldered stainless steel and cobalt-chromium orthodontic wire joints with band material The effect of joint site planning on various orthodontic joining configurations was investigated. A total of sixty wire specimens were chosen, thirty in the stainless-steel group and thirty in the cobalt – chromium group. Again, each group's sample was divided into three subgroups, namely End – End, Round, and Orthodontic band material. The study findings suggested all three configurations can be used to make silver soldered joints regardless of the wire consistency. When subjecting the wire to joint site planning, however, stainless steel wire should be used with its limitations in mind.


The current research compared and analysed the tensile strength of silver soldered stainless steel and cobalt-chromium orthodontic wire joints with band material The effect of joint site planning on various orthodontic joining configurations was investigated. A total of sixty wire specimens were chosen, thirty in the stainless-steel group and thirty in the cobalt – chromium group. Again, each group's sample was divided into three subgroups, namely End – End, Round, and Orthodontic band material. The study findings suggested all three configurations can be used to make silver soldered joints regardless of the wire consistency. When subjecting the wire to joint site planning, however, stainless steel wire should be used with its limitations in mind.


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