Broken tooth: a biological foreign body—case report

Abstract Background Broken tooth fragments that get lodged post trauma in oral cavity lacerations should not go unnoticed during primary care of the patient. Tooth fragments can act as a biological foreign body. Unnoticed foreign bodies can give rise to granulomas, sepsis, and fistula formation. Aim...

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Main Authors: Kartika Rao, Pallavi Bhandarkar
Format: Article
Language:English
Published: SpringerOpen 2023-04-01
Series:The Egyptian Journal of Otolaryngology
Subjects:
Online Access:https://doi.org/10.1186/s43163-023-00420-4
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author Kartika Rao
Pallavi Bhandarkar
author_facet Kartika Rao
Pallavi Bhandarkar
author_sort Kartika Rao
collection DOAJ
description Abstract Background Broken tooth fragments that get lodged post trauma in oral cavity lacerations should not go unnoticed during primary care of the patient. Tooth fragments can act as a biological foreign body. Unnoticed foreign bodies can give rise to granulomas, sepsis, and fistula formation. Aim This article stresses on the need for all primary contact medical staff and residents to pay additional attention on patients with a loose/broken tooth and a laceration. Early removal of tooth fragment is key to avoiding granuloma formation and thus the need to excise the surrounding tissue. Case presentation A 70-year-old female presented with a post traumatic upper lip swelling. A broken tooth fragment was studied on plain CT scan and removed under local anesthesia. A speedy restoration of normal anatomy was seen due to early diagnosis and removal. Conclusions Dental traumas, being the commonest maxillofacial injuries, have a significant impact on the physical, cosmetic, and emotional health of the patient. Careful assessment of a patient with history of trauma and a missing/broken tooth is mandatory.
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spelling doaj.art-9b6e9845a14442d7b97f0b60d44b27802024-04-28T03:49:55ZengSpringerOpenThe Egyptian Journal of Otolaryngology2090-85392023-04-013911410.1186/s43163-023-00420-4Broken tooth: a biological foreign body—case reportKartika Rao0Pallavi Bhandarkar1Department of ENT, BARC HospitalDepartment of ENT, BARC HospitalAbstract Background Broken tooth fragments that get lodged post trauma in oral cavity lacerations should not go unnoticed during primary care of the patient. Tooth fragments can act as a biological foreign body. Unnoticed foreign bodies can give rise to granulomas, sepsis, and fistula formation. Aim This article stresses on the need for all primary contact medical staff and residents to pay additional attention on patients with a loose/broken tooth and a laceration. Early removal of tooth fragment is key to avoiding granuloma formation and thus the need to excise the surrounding tissue. Case presentation A 70-year-old female presented with a post traumatic upper lip swelling. A broken tooth fragment was studied on plain CT scan and removed under local anesthesia. A speedy restoration of normal anatomy was seen due to early diagnosis and removal. Conclusions Dental traumas, being the commonest maxillofacial injuries, have a significant impact on the physical, cosmetic, and emotional health of the patient. Careful assessment of a patient with history of trauma and a missing/broken tooth is mandatory.https://doi.org/10.1186/s43163-023-00420-4Tooth fragmentUpper lipForeign body
spellingShingle Kartika Rao
Pallavi Bhandarkar
Broken tooth: a biological foreign body—case report
The Egyptian Journal of Otolaryngology
Tooth fragment
Upper lip
Foreign body
title Broken tooth: a biological foreign body—case report
title_full Broken tooth: a biological foreign body—case report
title_fullStr Broken tooth: a biological foreign body—case report
title_full_unstemmed Broken tooth: a biological foreign body—case report
title_short Broken tooth: a biological foreign body—case report
title_sort broken tooth a biological foreign body case report
topic Tooth fragment
Upper lip
Foreign body
url https://doi.org/10.1186/s43163-023-00420-4
work_keys_str_mv AT kartikarao brokentoothabiologicalforeignbodycasereport
AT pallavibhandarkar brokentoothabiologicalforeignbodycasereport