Association of orthodontic treatment and aspiration pneumonia

Authors

  • Mohamed Ali Sawas North Jeddah Specialist Dental Center, King Abdullah Medical Complex, Jeddah, Saudi Arabia
  • Nada Murdi Alenezi College of Dentistry, University of Hail, Hail City, Saudi Arabia
  • Ayesha Nasser Alshahrani General Dentist, Billasmar General Hospital, Abha, Saudi Arabia
  • Salma Taher Al-Hammoud College of Dentistry, Riyadh Elm University, Dammam, Saudi Arabia
  • Mohammed Abdullah Asiri College of Dentistry, King Saud University, Riyadh, Saudi Arabia
  • Yara Abdulaziz Alodan College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
  • Ali Mohammed Alghamdi College of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
  • Moteeb Abdullah Alghamdi College of Dentistry, Albaha University, Al Baha, Saudi Arabia
  • Omar Abdoullah Alsharif College of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
  • Mohammad Yahya Assiri Dental Department, Prince Mohammed bin Abdulaziz Hospital, Riyadh, Saudi Arabia
  • Shahad Hassan Fayyumi General Dentist, King Khalid Hospital, Hail, Saudi Arabia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20223572

Keywords:

Aspiration, Pneumonia, Foreign body, Dental, Oral hygiene

Abstract

Foreign body aspiration or ingestion is an uncommon potential complication during orthodontic dentistry, and it can produce a medical emergency. Obstruction of the airways can be life-threatening, and delayed recognition and management can result in pulmonary complications such as recurrent pneumonia. Dental treatment has been identified as an important cause of the misplacement of foreign bodies in the airway. Objects used in orthodontic treatment are mainly used due to their manufacturing limitations, such as their shape and size, and because they are made of radiolucent materials, which make them easy to aspirate or ingest and difficult to detect with a radiograph. However, few reports have been published on orthodontic dentistry-related foreign body aspiration and pulmonary complications. Furthermore, micro-aspiration due to poor oral hygiene in patients undergoing orthodontic procedures has been investigated in this review since poor oral hygiene is a well-established risk factor for aspiration pneumonia in the elderly population. The association between the aspiration of orthodontic material and aspiration pneumonia is not well established. Aspiration pneumonia is a secondary symptom of misdiagnosis or delayed diagnosis of dental material aspiration. Additionally, poor oral hygiene can also increase the risk of aspiration pneumonia in elderly patients since poor oral hygiene during orthodontic treatment leads to plaque retention, which can lead to increased development of hyperplastic gingivitis and periodontal breakdown, established risk factor for aspiration pneumonia.

References

Sonwane ds, Kamble S. Effects of Accidental Swallowing of Orthodontic Appliance on Gastrointestinal Tract and Airway: An Evidence-Based Review of Case Reports. J Ind Orthodontic Society. 2022;56:13-22.

Parkhouse RC. Medical Complications in Orthodontics. Brit J Orthodontics. 1991;18(1):51-7.

Lee BW. Case report-swallowed piece of archwire. Australian Orthodontic J. 1992;12(3):169-70.

Absi EG, Buckley JG. The location and tracking of swallowed dental appliances: the role of radiology. Dento Maxillo Facial Radiol. 1995;24(2):139-42.

Rohida NS, Bhad WA. Accidental ingestion of a fractured Twin-block appliance. Am J Orthodontics Dentofacial Orthopedics. 2011;139(1):123-5.

Monini Ada C, Maia LG, Jacob HB, Gandini LG, Jr. Accidental swallowing of orthodontic expansion appliance key. Am J Orthodontics Dentofacial Orthoped. 2011;140(2):266-8.

Umesan UK, Ahmad W, Balakrishnan P. Laryngeal impaction of an archwire segment after accidental ingestion during orthodontic adjustment. Am J Orthodontics Dentofacial Orthopedics. 2012;142(2):264-8.

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

Karamani, II, Makrygiannakis MA, Bitsanis I, Tsolakis AI. Ingestion of orthodontic appliances: A literature review. J Orthodontic Sci. 2022;11:20.

Arici S, Alkan A, Arici N. Comparison of different toothbrushing protocols in poor-toothbrushing orthodontic patients. Europ J Orthodont. 2007;29(5):488-92.

Zaghrisson BU, Zachrisson S. Caries incidence and oral hygiene during orthodontic treatment. Europ J Oral Sci. 1971;79(4):394-401.

Zitzmann NU, Elsasser S, Fried R, Marinello CP. Foreign body ingestion and aspiration. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol. 1999;88(6):657-60.

Mann R, Srinivasan B, Baker A. Managing aspiration. Brit Dental J. 2012;212(10):464-465.

Tiwana KK MT, Tiwana PS. Aspiration and ingestion in dental practice: A 10-year institutional review. J Am Dental Asso. 2004:135(139):1287-91.

Nazif MM, Ready MA. Accidental swallowing of orthodontic expansion appliance keys: report of two cases. ASDC J Dentistry Children. 1983;50(2):126-7.

Tripathi T, Rai P, Singh H. Foreign body ingestion of orthodontic origin. Am J Orthodontics Dentofacial Orthoped. 2011;139(2):279-83.

Nicolas R, Eggers G, Komposch G. Orthodontic archwire in the nasal cavity. A case report. J Orofacial Orthoped. 2009;70(1):92-7.

Sheridan A. Orthodontic bracket lost in airway. Am J Orthodontics Dentofacial Orthoped. 2009;135(1):5.

Park JH, Owtad P, Milde B. Incident management guidelines for an ingested orthodontic object. Int J Orthodontics (Milwaukee, Wis). 2013;24(3):45-9.

Mahto RK, Rana SS, Kharbanda OP. Accidental Swallowing of a Molar Band. Turk J Orthodontics. 2019;32(2):115-8.

V. NVPSM. Oops! There goes my minis-crew! APOS Trends Orthod. 2016;6:277-80.

Hou R, Zhou H, Hu K. Thorough documentation of the accidental aspiration and ingestion of foreign objects during dental procedure is necessary: review and analysis of 617 cases. Head Face Med. 2016;12(1):23.

Hoseini M, Mostafavi SM, Rezaei N, Boluri EJ. Orthodontic Wire Ingestion during Treatment: Reporting a Case and Review the Management of Foreign Body Ingestion or Aspiration (Emergencies). Case Rep Dentistr. 2013;2013:426591.

Susini G, Pommel L, Camps J. Accidental ingestion and aspiration of root canal instruments and other dental foreign bodies in a French population. Int Endodontic J. 2007;40(8):585-9.

Israel HA, Leban SG. Aspiration of an endodontic instrument. J Endodontics. 1984;10(9):452-4.

Blazer S, Naveh Y, Friedman A. Foreign body in the airway. A review of 200 cases. Am J Dis Children (1960). 1980;134(1):68-71.

Von Haacke NP, Wilson JA. Missing denture as a cause of recurrent laryngeal nerve palsy. Brit Med J. 1986;292(6521):664.

Umesan UK, Chua KL, Balakrishnan P. Prevention and management of accidental foreign body ingestion and aspiration in orthodontic practice. Therapeutics Clin Risk Management. 2012;8:245-52.

Lakadamyalı H, Yağbasan BD, Kıvanç T. Interactive case report: Recurrent Pneumonia Caused by The Aspiration of a Quad Dental Prosthesis, Late Diagnosed and Treated with Rigid Bronchoscopy. Respiratory Case Rep. 2016;5(1):22-4.

Welcker K, Nakashima M, Branscheid D. Aspiration of dental implant-reasons, management and prevention. Pneumologie (Stuttgart, Germany). 2005;59(3):174-7.

Yurdakul AS, Kanbay A, Kurul C, Yorgancılar D, Demircan S, Ekim N. An occult foreign body aspiration with bronchial anomaly mimicking asthma and pneumonia. Dental Traumatol. 2007;23(6):368-70.

Sehgal IS, Dhooria S, Ram B. Foreign Body Inhalation in the Adult Population: Experience of 25,998 Bronchoscopies and Systematic Review of the Literature. Respiratory Care. 2015;60(10):1438-48.

Baharloo F, Veyckemans F, Francis C, Biettlot MP, Rodenstein DO. Tracheobronchial foreign bodies: presentation and management in children and adults. Chest. 1999;115(5):1357-62.

Lin L, Lv L, Wang Y, Zha X, Tang F, Liu X. The clinical features of foreign body aspiration into the lower airway in geriatric patients. Clin Interventions Aging. 2014;9:1613-8.

Kshatriya RM, Khara NV, Paliwal RP, Patel SN. Role of virtual and flexible bronchoscopy in the management of a case of unnoticed foreign body aspiration presented as nonresolving pneumonia in an adult female. Lung India. 2016;33(4):420-3.

Welcker K, Nakashima M, Branscheid D. [Aspiration of dental implant-reasons, management and prevention]. Pneumologie (Stuttgart, Germany). 2005;59(3):174-7.

Hewlett JC, Rickman OB, Lentz RJ, Prakash UB, Maldonado F. Foreign body aspiration in adult airways: therapeutic approach. J Thoracic Dis. 2017;9(9):3398-409.

Naragond A, Kenganal S, Rajasigamani K, Kumar NS. Accidental Ingestion of Molar Band and Its Management: Maintenance Is Better than Management. Case Rep Dentistr. 2013;2013:891304.

Verghese A, Berk SL. Bacterial pneumonia in the elderly. Medicine. 1983;62(5):271-85.

Scannapieco FA, Mylotte JM. Relationships between periodontal disease and bacterial pneumonia. J Periodontol. 1996;67(10):1114-22.

Lundström F, Krasse B. Caries incidence in orthodontic patients with high levels of Streptococcus mutans. Europ J Orthodontics. 1987;9(2):117-21.

Zachrisson BU, Zachrisson S. Caries incidence and oral hygiene during orthodontic treatment. Scand J Dental Res. 1971;79(6):394-401.

Uno I, Kubo T. Risk Factors for Aspiration Pneumonia among Elderly Patients in a Community-Based Integrated Care Unit: A Retrospective Cohort Study. Geriatrics (Basel, Switzerland). 2021;6(4).

Kikuchi R, Watabe N, Konno T, Mishina N, Sekizawa K, Sasaki H. High incidence of silent aspiration in elderly patients with community-acquired pneumonia. Am J Respiratory Crit Care Med. 1994;150(1):251-3.

Pusins JM. Oral Health and Aspiration Pneumonia. Today's Geriatric Med. 2015;11(6):16.

Son M, Jo S, Lee JS, Lee DH. Association between oral health and incidence of pneumonia: a population-based cohort study from Korea. Scientific Rep. 2020;10(1):9576.

Hata R, Noguchi S, Kawanami T. Poor oral hygiene is associated with the detection of obligate anaerobes in pneumonia. J Periodontol. 2020;91(1):65-73.

El Attar MM, Zaghloup MZ, Elmenoufr HS. Role of periodontitis in hospital-acquired pneumonia. Eastern Mediterranean Heal J. 2010;16(5):563-9.

Sharma N, Shamsuddin H. Association between respiratory disease in hospitalized patients and periodontal disease: a cross-sectional study. J Periodontol. 2011;82(8):1155-60.

Terpenning MS, Taylor GW, Lopatin DE, Kerr CK, Dominguez BL, Loesche WJ. Aspiration Pneumonia: Dental and Oral Risk Factors in an Older Veteran Population. J Am Geriatr Soc. 2001;49(5):557-63.

Awano S, Ansai T, Takata Y. Oral health and mortality risk from pneumonia in the elderly. J Dental Res. 2008;87(4):334-9.

Terpenning M. Geriatric oral health and pneumonia risk. Clin Infect Dis. 2005;40(12):1807-10.

U Koichiro. Preventing aspiration pneumonia by oral health care. JMAJ. 2011;54(1):39-43.

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Published

2022-12-29

How to Cite

Sawas, M. A., Alenezi, N. M., Alshahrani, A. N., Al-Hammoud, S. T., Asiri, M. A., Alodan, Y. A., Alghamdi, A. M., Alghamdi, M. A., Alsharif, O. A., Assiri, M. Y., & Fayyumi, S. H. (2022). Association of orthodontic treatment and aspiration pneumonia. International Journal Of Community Medicine And Public Health, 10(1), 448–453. https://doi.org/10.18203/2394-6040.ijcmph20223572

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Section

Review Articles