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Related Experiment Videos

Esophageal impacted dentures.

Onyekwere G Nwaorgu1, Paul A Onakoya, Olusola A Sogebi

  • 1Department of Otorhinolaryngology, University College Hospital, Ibadan, Nigeria. onyinik@yahoo.com

Journal of the National Medical Association
|November 16, 2004
PubMed
Summary

Impacted acrylic dentures pose risks, with endoscopic removal carrying a high perforation rate. Prevention through better denture fabrication and patient instructions is crucial.

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Area of Science:

  • Gastroenterology
  • Otolaryngology
  • Dental Prosthetics

Background:

  • Acrylic dentures can become impacted in the esophagus, leading to serious complications.
  • Delayed diagnosis and management increase patient risk.

Purpose of the Study:

  • To analyze the challenges of impacted acrylic dentures.
  • To provide recommendations for their management and prevention.

Main Methods:

  • A 16-year retrospective review of patients with impacted esophageal acrylic dentures.
  • Analysis of patient demographics, symptoms, treatment, and complications.

Main Results:

  • Twenty-two adults (72.7% male) presented with impacted dentures, often after >10 years of wear.

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  • Common symptoms included dysphagia and throat pain; 5 patients experienced esophageal perforation.
  • Extraction methods included esophagoscopy (17 cases) and esophagotomy (3 cases).
  • Conclusions:

    • Endoscopic extraction of impacted dentures has a significant risk of esophageal perforation.
    • Esophagotomy may be a safer alternative in certain cases.
    • Preventive strategies include radiopaque materials in dentures and clear post-delivery instructions.