Accidental ingestion of a dental bur into the duodenum during extraction of an impacted tooth: A case report with literature review

doi:10.3877/cma.j.issn.1674-1366.2026.02.008

Abstract

Abstract:

The displacement of a dental bur during impacted tooth extraction and migration to the duodenum is a rare clinical complication. This article reports a case of accidental swallowing and displacement of a dental bur to the duodenum during impacted tooth extraction, and reviews the risk factors, diagnosis, management strategies, and preventive measures based on literature analysis, providing reference for clinical prevention.

Key words: Impacted tooth extraction, Tooth extraction bur, Foreign body, Ingestion, Duodenum

Yunfei Jia, Zhutao Shao, Aihong Huang, Junyan Fang. Accidental ingestion of a dental bur into the duodenum during extraction of an impacted tooth: A case report with literature review[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2026, 20(02): 132-135.

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References 14

[1]	Cossellu G，Farronato G，Carrassi A，et al. Accidental aspiration of foreign bodies in dental practice：Clinical management and prevention[J]. Gerodontology，2015，32（3）：229-233. DOI：10.1111/ger.12068.
[2]	武霖，孔繁芝，钱良玉，等.口腔种植术中误吸螺丝刀病例报道及文献回顾[J].口腔疾病防治，2022，30（8）：582-587. DOI：10.12016/j.issn.2096-1456.2022.08.008.
[3]	李洲驰，叶玲，汪成林.咽反射敏感患者的口腔诊疗策略[J].国际口腔医学杂志，2022，49（6）：690-698. DOI：10.7518/gjkq.2022078.
[4]	郭磊，雷荣昌，曲彬彬，等.拔牙时车针断入软腭内1例报告并文献复习[J].中国口腔颌面外科杂志，2024，22（2）：202-205. DOI：10.19438/j.cjoms.2024.02.016.
[5]	Parolia A，Kamath M，Kundubala M，et al. Management of foreign body aspiration or ingestion in dentistry[J]. Kathmandu Univ Med J（KUMJ），2009，7（26）：165-171. DOI：10.3126/kumj.v7i2.2715.
[6]	中国企业管理研究会公共卫生与医疗健康管理研究院，浙江长三角健康科技研究院老年病急救技术研究部，浙江省增龄与理化损伤性疾病诊治研究重点实验室，等.成人食管异物急诊处置专家共识（2020版）[J/OL].中华危重症医学杂志（电子版），2020，13（6）：446-452. DOI：10.3877/cma.j.issn.1674-6880.2020.06.008.
[7]	Allwork JJ，Edwards IR，Welch IM. Ingestion of a quadhelix appliance requiring surgical removal：A case report[J]. J Orthod，2007，34（3）：154-157. DOI：10.1179/146531207225022131.
[8]	Odeghe E，Osueni A，Owoseni OO，et al. Upper gastrointestinal bleeding secondary to an incidental impacted foreign body in the duodenum[J]. Cureus，2020，12（2）：e6971. DOI：10.7759/cureus.6971.
[9]	Abusamaan M，Giannobile WV，Jhawar P，et al. Swallowed and aspirated dental prostheses and instruments in clinical dental practice：A report of five cases and a proposed management algorithm[J]. J Am Dent Assoc，2014，145（5）：459-463. DOI：10.14219/jada.2013.55.
[10]	Bhatnagar S，Das UM，Chandan GD，et al. Foreign body ingestion in dental practice[J]. J Indian Soc Pedod Prev Dent，2011，29（4）：336-338. DOI：10.4103/0970-4388.86387.
[11]	Birk M，Bauerfeind P，Deprez PH，et al. Removal of foreign bodies in the upper gastrointestinal tract in adults：European Society of Gastrointestinal Endoscopy（ESGE）clinical guideline[J]. Endoscopy，2016，48（5）：489-496. DOI：10.1055/s-0042-100456.
[12]	中华医学会儿科学分会消化学组，中华儿科杂志编辑委员会.中国儿童消化道异物诊断、管理和内镜处理专家共识[J].中华儿科杂志，2022，60（5）：401-407. DOI：10.3760/cma.j.cn112140-20211227-01081.
[13]	中华医学会消化内镜学分会儿科协作组，中国医师协会内镜医师分会儿科消化内镜专业委员会.中国儿童消化道异物管理指南（2021）[J].中国循证医学杂志，2022，22（1）：2-18. DOI：10.7507/1672-2531.202111099.
[14]	钱虹.口腔疾病治疗中异物的误吸误咽[J].华西口腔医学杂志，2016，34（4）：329-331. DOI：10.7518/hxkq.2016.04.001.

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