Partial denture swallowed by patient with dementia. (17th June 2015)

• Record Type: Journal Article
• Authors: Saunders, Ralph
• Is Part Of: Special care in dentistry. Volume 35:Number 5(2015)
• Page Start: 258
• Page End: 260
• Publication Date: 2015-06-17
• Subjects: People with disabilities -- Dental care -- Periodicals; Older people -- Dental care -- Periodicals; Hospital dental service -- Periodicals; Dental Care for Disabled -- Periodicals; Dental Service, Hospital -- Periodicals; Geriatric Dentistry -- Periodicals; 617.60087
• DOI: 10.1111/scd.12121
• Languages: English
• ISSNs: 0275-1879

Abstract

<abstract abstract-type="main"> <title>ABSTRACT</title> <sec id="scd12121-sec-0010" sec-type="section"> <title>Purpose</title> <p>To present a rare case of a male dementia patient in a nursing home who swallowed a partial denture which lodged in the airway.</p> </sec> <sec id="scd12121-sec-0020" sec-type="section"> <title>Methods</title> <p>During breakfast, a patient with moderate dementia experienced a sore throat, labored breathing, and difficulty swallowing. Uncertainty about the cause of these problems was exacerbated by the patient's cognitive losses, his reduced oro‐motor function, and awareness of caregivers that the possible involvement of a denture of this size was unlikely. At the beginning of the third day, he developed a low‐grade fever and was placed on antibiotics. A chest x‐ray was negative.</p> </sec> <sec id="scd12121-sec-0030" sec-type="section"> <title>Results</title> <p>On the fourth day, a flexible endoscopic evaluation of swallowing was performed, which revealed the partial denture resting in the hypopharynx on the patient's vocal cords.</p> </sec> <sec id="scd12121-sec-0040" sec-type="section"> <title>Discussion</title> <p>Along with pneumonia and viral bronchitis, a swallowed denture needs to be in the differential diagnosis of a dementia patient experiencing difficulty swallowing.</p> </sec> <sec id="scd12121-sec-0050" sec-type="section"> <title>Conclusions</title> <p>Nursing home caregivers be aware that even a sizable partial denture can be swallowed and extra vigilance is essential in caring for dementia patients.</p> </sec> </abstract>