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What's left in the cleft? a rare complication following displacement of dental impression material into a palatal cleft Srishti Datta Abhishek Agarwal Dapo Akintola Aws Alani Dental Update 2024 44:10, 707-709.
Authors
SrishtiDatta
BDS(Hons), BSc(Hons), MFDS RCS(Ed)
Dental Core Trainee, Department of Oral Surgery, King's College Hospital, Denmark Hill, London SE5 9RS, UK
Discoveries of foreign bodies lodged in the nose, palate and maxillary sinuses have been well documented. A rare, iatrogenic cause is displacement of dental impression material which, if left undetected at these sites, may lead to acute respiratory obstruction or chronic problems, such as nasal discharge and chronic sinusitis. This article reports the case of acute complications following displacement of dental impression material into a palatal cleft, discusses immediate surgical management, and considers restorative techniques that should be adopted to prevent such complications in patients with cleft palates.
CPD/Clinical Relevance: Impression-taking in patients with cleft palate carries significant risks and appropriate referral to a multidisciplinary team is appropiate in order to avoid potentially life-threatening complications.
Article
The discovery of foreign bodies in the nose, palate and maxillary sinuses has been well reported in the literature with children under the age of five being most frequently affected.1,2,3,4,5,6,7 Embedded inanimate objects such as erasers, pebbles, beads and coins may simulate pathological lesions and this, coupled with the limited co-operation of children, can make diagnosis extremely challenging.4,5,6 Loose foreign objects in the postnasal space should raise particular concern due to the risk of accidental aspiration and acute respiratory obstruction, which is a life-threatening emergency.1 Chronic complications may include halitosis, nasal discomfort, discharge and sinusitis.7,8 Management of these patients and retrieval of lodged foreign objects therefore requires great skill.1,5,6
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