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Death from ingestion of removable partial denture: a case report
V J Ekanem1, O N Obuekwe, A Unuigbe
1Department of Pathology, School of Medicine, University of Benin Teaching Hospital, Benin City Nigeria. vekanem2000@yahoo.com
The Nigerian Postgraduate Medical Journal
|April 14, 2005
Summary
Acrylic dentures pose a significant risk when used as removable partial dentures, especially in developing nations. Ingestion can lead to fatal esophageal lacerations and hemorrhage due to their radiolucent nature, complicating diagnosis.
Area of Science:
- Dentistry
- Forensic Pathology
- Public Health
Background:
- Removable partial dentures (RPDs) are common dental prosthetics.
- Acrylic resins are frequently used materials for RPDs due to their affordability and aesthetics.
- Developing countries often face unique challenges in healthcare access and patient education regarding medical devices.
Observation:
- A post-mortem examination was conducted on a male patient who died following the ingestion of a removable partial denture.
- The denture was found lodged in the mid-esophagus.
- The lateral wings of the denture were embedded in the esophageal wall, causing significant laceration and hemorrhage.
Findings:
- Ingested acrylic RPDs can cause life-threatening esophageal injuries, including laceration and severe hemorrhage.
- The radiolucent properties of acrylic materials can impede prompt radiographic diagnosis and intervention.
- Delayed diagnosis increases the risk of complications and mortality.
Implications:
- There is a critical need for enhanced patient education regarding the safe use and potential risks associated with acrylic RPDs, particularly in resource-limited settings.
- Healthcare providers should maintain a high index of suspicion for ingested radiolucent foreign bodies, including dentures.
- Further research into radiopaque denture materials or improved diagnostic techniques for radiolucent foreign bodies is warranted.