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An orthodontic bracket embedded in the medial pterygoid surface: a case report
Sheryl E Wilmott1, Okechukwu Ikeagwuani2, Niall M H McLeod1
1a Department of Oral and Maxillofacial Surgery , Oxford University Hospitals NHS Trust , The John Radcliffe, Oxford , UK.
Journal of Orthodontics
|January 9, 2016
Summary
Orthodontic brackets can become lodged in the throat, posing a risk to the aerodigestive tract. This case highlights the importance of considering embedded dental materials when localization is difficult.
Area of Science:
- Otolaryngology
- Dental Surgery
- Medical Case Reports
Background:
- Orthodontic treatment involves the use of various appliances, including brackets.
- Dislodgement of orthodontic brackets into the aerodigestive tract is a rare but potential complication.
- Foreign body ingestion or aspiration can lead to significant morbidity.
Purpose of the Study:
- To report a case of an orthodontic bracket embedded in the oropharyngeal deep tissues.
- To emphasize the risks associated with misplaced dental instruments and materials.
- To suggest considering embedded foreign bodies in cases of unlocalizable symptoms.
Main Methods:
- Case presentation of a patient with an embedded orthodontic bracket.
- Review of diagnostic and management strategies for deep-tissue foreign bodies in the oropharynx.
- Discussion of potential complications and preventative measures.
Main Results:
- An orthodontic bracket was successfully retrieved from the deep tissues of the oropharynx.
- The case demonstrates the possibility of dental materials becoming embedded in soft tissues.
- Prompt diagnosis and surgical intervention were crucial for successful management.
Conclusions:
- Misplaced orthodontic brackets pose a risk of embedding in the aerodigestive tract.
- Clinicians should maintain a high index of suspicion for embedded foreign bodies, especially dental materials.
- Consideration of embedded dental instruments is vital when localization is challenging.
