Re: Disappearing Nesbitt Bridge [longish tale]

I sit corrected.  I kinda hope it was a Nesbit, though it doesn't say.

Steve

NOYB wrote:
"Mark & Steven Bornfeld" <bornfeldmung@xxxxxxxxxxxxxxx> wrote in message news:BRC3e.715$7b.295@xxxxxxxxxxx

Roy Brown wrote:

"Mark & Steven Bornfeld" <bornfeldmung@xxxxxxxxxxxxxxx> wrote in message news:aHx3e.1943$7b.1823@xxxxxxxxxxx
| Dr. G. wrote:
| > "John Keiser" <john.keiser2@xxxxxxxxxxx> wrote:
| >
| >
| >>Based on your comments, I had my HMO do an xray this morning. Sure enough,
| >>the bridge is now at the start of the lower intestine.
| >
| >
| > You should now understand why a prudent and thinking dentist would never
| > construct on of those things.
| > In the prosthodontic world, Nesbits (Class VI) RPDs are a big no no.
| >
| > Dr. G.
|
| Come on--no one condemns them because they can be swallowed. No one
| condemns single crowns nor three-unit bridges for this reason.
| I had a patient swallow one of my three unit bridges in the past year.
| I posted here how I offered to replace it if she didn't want to go
| fishin'.
| A couple of weeks later, I recemented the retrieved bridge.
|
| Steve
| >
|

I don't know about that Steve. I won't make one because of the risks involved. I don't even think this has anything to do with Dr. G's location (California) where the lawyers apparently affect all aspects of life. Even up here north of the 49th parallel where one is far less likely to get sued for looking at someone the wrong way. Not so recent technology has provided much safer alternatives. There is the Maryland bridge, the Monodont and all the variations of those.

Ingestion is one thing, aspiration is even scarier.


Sure. But anything used in the mouth can be swallowed. Perhaps you're concerned about the clasp arms, but have you ever, ever hears of a GI perforation due to a Nesbit 



      N J Med. 1995 Jul;92(7):452-3.


Perforation of the sigmoid colon following ingestion of a dental plate.

Peison B, Benisch B, Lim E.

Rahway Hospital, NJ 07065, USA.

The authors report on the perforation of the sigmoid colon in a 48-year-old male following the accidental ingestion of a partial dental plate. Sharp, pointed objects may perforate the bowel and surgery should be considered. A review of the literature revealed no previously reported cases.

------------------------------------------------------------------------------------------------------
Diseases of the Esophagus
Volume 15 Issue 4 Page 340 - December 2002
doi:10.1046/j.1442-2050.2002.00290.x Case reportCervical esophageal perforation with severe mediastinitis due to an impacted dental prosthesisB. H. A. von Rahden, M. Feith, H.-J. Dittler, H. J. Stein
SUMMARY. We herein report about a case of perforation of the cervical esophagus by an artificial denture, which had been swallowed by the patient after a horse-related-injury. Impactation of the foreign body at the level of the upper esophageal sphincter was followed by its penetration through the esophageal wall, causing severe infection of the cervical soft tissue, mediastinitis and sepsis. We discuss the well-known phenomena of prosthesis ingestion and frequently delayed diagnosis, as well as our treatment strategy of cervical esophageal perforation with placement of a T-tube into the cervical esophagus and mediastinal drainage.

---------------------------------------------------------------------------------------------------------






--
Cut the nonsense to reply

.