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Partial denture swallowed by patient with dementia.

Ralph Saunders1

  • 1Eastman Institute for Oral Health, University of Rochester.

Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
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A dementia patient in a nursing home swallowed a partial denture, causing airway obstruction. This rare case highlights the need for vigilance in caring for patients with cognitive impairment.

Keywords:
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Area of Science:

  • Geriatric Medicine
  • Otolaryngology
  • Emergency Medicine

Background:

  • Dementia patients in nursing homes are at risk for aspiration.
  • Cognitive impairment can mask or complicate the diagnosis of foreign body ingestion.

Purpose of the Study:

  • To report a rare case of a male dementia patient who aspirated a partial denture.
  • To emphasize the importance of considering foreign body ingestion in dementia patients with swallowing difficulties.

Main Methods:

  • A case study of a male patient with moderate dementia residing in a nursing home.
  • Clinical presentation included sore throat, labored breathing, and dysphagia.
  • Diagnostic workup involved chest X-ray and flexible endoscopic evaluation of swallowing (FESE).

Main Results:

  • A partial denture was identified lodged in the hypopharynx, obstructing the vocal cords.
  • Initial symptoms were attributed to other causes due to the patient's cognitive status and caregiver assumptions.

Conclusions:

  • Swallowed dentures should be included in the differential diagnosis for dementia patients presenting with dysphagia.
  • Nursing home staff must maintain heightened awareness and vigilance for potential denture aspiration in this vulnerable population.