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Manejo de la ingestión o inhalación de cuerpos extraños para consultorios dentales

Timothy A Hess1, Chandur P K Wadhwani2, Thomas B Dodson3

  • 1Affiliate Associate Professor, Restorative Dentistry, Affiliate Assistant Professor, Oral Medicine, University of Washington School of Dentistry, Seattle, Washington.

Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)
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La deglución o inhalación accidental de instrumentos dentales, como piezas de implantes, es un riesgo grave. Esta revisión propone un algoritmo de manejo para profesionales dentales para mejorar la seguridad del paciente y reducir problemas legales.

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cuerpos extrañosinstrumentos dentalesseguridad del pacienteprotocolosgestión de riesgos

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Área de la Ciencia:

  • Cirugía Dental
  • Seguridad de Dispositivos Médicos
  • Gestión de Riesgos del Paciente

Sus antecedentes:

  • La ingestión o aspiración inadvertida de instrumentos dentales, especialmente componentes de implantes, presenta importantes desafíos médicos y legales.
  • Existe una notable ausencia de protocolos estandarizados o guías profesionales para el manejo de estos eventos adversos en la práctica dental.

Objetivo del estudio:

  • Revisar la literatura existente sobre la ingestión o aspiración de instrumentos dentales.
  • Destacar medidas preventivas efectivas y proponer un algoritmo de manejo para profesionales dentales.
  • Enfatizar la importancia de la identificación temprana, la respuesta de emergencia y la derivación a especialistas.

Principales métodos:

  • Revisión exhaustiva de la literatura actual sobre ingestión/aspiración de instrumentos dentales.
  • Análisis de estrategias preventivas comunes empleadas en procedimientos dentales.
  • Desarrollo de un algoritmo de manejo práctico y paso a paso para aplicación clínica.

Principales resultados:

  • La revisión subraya la necesidad crítica de protocolos estandarizados para manejar eventos adversos relacionados con instrumentos dentales.
  • Las prácticas preventivas y la intervención temprana son cruciales para minimizar el daño al paciente.
  • La derivación adecuada a atención especializada es esencial para resultados óptimos del paciente.

Conclusiones:

  • Los protocolos estandarizados y las precauciones intraoperatorias mejoradas son vitales para abordar los riesgos asociados con la ingestión/aspiración de instrumentos dentales.
  • La responsabilidad ética y las prácticas clínicas mejoradas pueden mitigar las consecuencias potencialmente fatales de estos incidentes.
  • Un algoritmo de manejo claro puede guiar a los profesionales dentales en la respuesta efectiva a tales emergencias.