Orientações clínicas e éticas em caso de deglutição de corpo estranho durante atendimento odontológico

Abstract

Introduction: The passage of foreign bodies through the oropharynx during dental treatment is an accident that can be avoided in most cases, especially when the dentist adopts preventive measures such as using rubber dam or tying certain objects with dental floss. Objective: To emphasize the importance of avoiding the accident of ingesting foreign bodies during dental treatment and to guide the dentist on how to proceed, clinically and ethically, if the accident occurs. Case report: A minor female patient, unaccompanied, accidentally ingested a bur used for finishing a composite resin restoration during a dental treatment performed in the public service, due to a defect in the high-speed handpiece. The patient and their parents were informed of the accident, and the object was monitored radiographically until its elimination by natural means, with no reports of discomfort. Conclusion: It is the responsibility of the dentist to know and follow the necessary measures to avoid or solve complications from ingesting foreign bodies, since patient’s health and integrity must be protected. In addition, the dentist will also avoid possible ethical and legal demands when fulfilling his responsibilities as a health care professional.