Abstract

FONSECA, G.M.. Accidental swallowing of fixed denture (cantilever) in a patient with history of colon cancer. Av Odontoestomatol [online]. 2011, vol.27, n.6, pp.313-317. ISSN 2340-3152.

This clinical report describes a case of accidental swallowing of three units cantilever porcelain fused metal bridge in a 51-years-old male with history of colon cancer and reversible colostomy four years ago. While the kind of the ingested foreign body and the prior gastrointestinal conditions recommend a surgical management decision to avoid the risks for perforation or obstruction, in our case the management decision was the conservative approach because of the asymptomatic condition and the radiographic observation of the normal pass the alimentary tract without complications. The fixed dentures should be secure and stable but an incorrect design of the bridge (wrong indication of cantilever; short post systems) are at increased risk of important potential harms (inhalation, oesophageal perforation, enterocolic fistula, intestinal obstruction), invasive intervention or even death, all with medicolegal consequences.

Keywords : Accident; ingestion; fixed denture; iatrogenesis.

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