Accidental swallowing of dental objects during pediatric dental care in Thailand

Aim: Accidental swallowing of dental objects can occur at any time during dental treatment, especially in child patients. Its severity and sequelae can range from minor to life-threatening. The study aimed to find out the occurrence of accidental swallowing and type of swallowed objects regarding pe...

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Main Authors: Pornpoj Fuangtharnthip, Patr Pujarern, Praewpat Pachimsawat, Phaingruethai Loeksomphot, Prow Janjarussakul, Somchai Manopatanakul
Other Authors: Mahidol University, Faculty of Dentistry
Format: Article
Published: 2022
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Online Access:https://repository.li.mahidol.ac.th/handle/123456789/76777
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spelling th-mahidol.767772022-08-04T15:30:16Z Accidental swallowing of dental objects during pediatric dental care in Thailand Pornpoj Fuangtharnthip Patr Pujarern Praewpat Pachimsawat Phaingruethai Loeksomphot Prow Janjarussakul Somchai Manopatanakul Mahidol University, Faculty of Dentistry Thawung Hospital Dentistry Aim: Accidental swallowing of dental objects can occur at any time during dental treatment, especially in child patients. Its severity and sequelae can range from minor to life-threatening. The study aimed to find out the occurrence of accidental swallowing and type of swallowed objects regarding pediatric dental treatment in Thailand. Materials and Methods: A nationwide questionnaire survey was performed among Thai dentists to anonymously report child patients' accidental swallowing throughout their working experience for up to 10 years. Percentage and frequencies of accidental swallowing in child patients, as well as types of dental objects swallowed, were investigated. Association between factors of the respondents and their experiences was assessed by the logistic regression analysis. Results: Among 408 respondents, 99 respondents [24.26%, 95% confidence interval (CI): 20.10-28.42] had experienced accidental swallowing during pediatric dental treatment. All of them reported ingestion with only one respondent reporting aspiration. Extracted teeth, stainless steel crowns, and rubber cups were top on the list of swallowed items experienced by 11.52%, 8.33%, and 3.92% of respondents, respectively. Dental sharps such as endodontic files and orthodontic wires were reported as well. Dentists with higher educational backgrounds, mostly exposed to more complicated cases, were more likely to experience accidental swallowing (odds ratio of 2.90, 95% CI: 1.61-5.21). Conclusion: Our results indicate that accidental swallowing in child patients appeared to occur more frequently than anticipated. Awareness on patient safety of dental professionals and preventive measures against accidental swallowing when dealing with child patients should be greatly emphasized. 2022-08-04T08:30:16Z 2022-08-04T08:30:16Z 2021-11-01 Article Journal of International Society of Preventive and Community Dentistry. Vol.11, No.6 (2021), 671-677 10.4103/jispcd.JISPCD_150_21 22501002 22310762 2-s2.0-85120936918 https://repository.li.mahidol.ac.th/handle/123456789/76777 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85120936918&origin=inward
institution Mahidol University
building Mahidol University Library
continent Asia
country Thailand
Thailand
content_provider Mahidol University Library
collection Mahidol University Institutional Repository
topic Dentistry
spellingShingle Dentistry
Pornpoj Fuangtharnthip
Patr Pujarern
Praewpat Pachimsawat
Phaingruethai Loeksomphot
Prow Janjarussakul
Somchai Manopatanakul
Accidental swallowing of dental objects during pediatric dental care in Thailand
description Aim: Accidental swallowing of dental objects can occur at any time during dental treatment, especially in child patients. Its severity and sequelae can range from minor to life-threatening. The study aimed to find out the occurrence of accidental swallowing and type of swallowed objects regarding pediatric dental treatment in Thailand. Materials and Methods: A nationwide questionnaire survey was performed among Thai dentists to anonymously report child patients' accidental swallowing throughout their working experience for up to 10 years. Percentage and frequencies of accidental swallowing in child patients, as well as types of dental objects swallowed, were investigated. Association between factors of the respondents and their experiences was assessed by the logistic regression analysis. Results: Among 408 respondents, 99 respondents [24.26%, 95% confidence interval (CI): 20.10-28.42] had experienced accidental swallowing during pediatric dental treatment. All of them reported ingestion with only one respondent reporting aspiration. Extracted teeth, stainless steel crowns, and rubber cups were top on the list of swallowed items experienced by 11.52%, 8.33%, and 3.92% of respondents, respectively. Dental sharps such as endodontic files and orthodontic wires were reported as well. Dentists with higher educational backgrounds, mostly exposed to more complicated cases, were more likely to experience accidental swallowing (odds ratio of 2.90, 95% CI: 1.61-5.21). Conclusion: Our results indicate that accidental swallowing in child patients appeared to occur more frequently than anticipated. Awareness on patient safety of dental professionals and preventive measures against accidental swallowing when dealing with child patients should be greatly emphasized.
author2 Mahidol University, Faculty of Dentistry
author_facet Mahidol University, Faculty of Dentistry
Pornpoj Fuangtharnthip
Patr Pujarern
Praewpat Pachimsawat
Phaingruethai Loeksomphot
Prow Janjarussakul
Somchai Manopatanakul
format Article
author Pornpoj Fuangtharnthip
Patr Pujarern
Praewpat Pachimsawat
Phaingruethai Loeksomphot
Prow Janjarussakul
Somchai Manopatanakul
author_sort Pornpoj Fuangtharnthip
title Accidental swallowing of dental objects during pediatric dental care in Thailand
title_short Accidental swallowing of dental objects during pediatric dental care in Thailand
title_full Accidental swallowing of dental objects during pediatric dental care in Thailand
title_fullStr Accidental swallowing of dental objects during pediatric dental care in Thailand
title_full_unstemmed Accidental swallowing of dental objects during pediatric dental care in Thailand
title_sort accidental swallowing of dental objects during pediatric dental care in thailand
publishDate 2022
url https://repository.li.mahidol.ac.th/handle/123456789/76777
_version_ 1763496065306198016