ORO TONGUE GUARD FOR DENTAL PROCEDURES

Abstract

Foreign body aspiration or ingestion can be a potential complication or a life­threatening emergency situation. During routine dental treatment, the handling of dental objects requires particular care, especially with dental bridges and files. Precautionary measures have to be taken to avoid such situation. Foreign body aspiration or ingestion can be a potential complication or a life­threatening emergency situation. During routine dental treatment, the handling of dental objects requires particular care, especially with dental bridges and files. Precautionary measures have to be taken to avoid such situation. A dentist must be able to manage emergency situations in which accidental swallowing of dental instruments and materials occur. Early recognition and prevention of swallowed foreign bodies during any surgical or nonsurgical procedures related to oral cavity is the key to avoid catastrophic effects. In this litigious era, it is our recommendation that appropriate consideration is to be given to the inclusion of such preventive devices in management of accidental ingestion. A Oro Tongue Guard was constructed in such a way that prevents swallowing of foreign objects during dental procedures.

Specification

Accidental ingestion in dental procedures is most commonly a problem in young children. In adults, it occurs among those with psychiatric disorder, mental retardation, use of local anesthetic, and altered consciousness associated with intravenous sedation. Swallowing of dental materials and devices may lead to serious complication during dental treatment. Any objects placed into oral cavity during dental or surgical procedures can be aspirated or swallowed. These items include teeth, restorations, restorative materials, instruments, implant parts, rubber dam clamps, gauze packs, and impression materials. The foreign bodies that reach the gastrointestinal (GI) tract pass spontaneously.
However, 10%-20% of cases require nonsurgical intervention while 1% or less may require surgery. Foreign body aspiration may cause damage to gastric mucosa, septic abscess, intestinal perforations, partial or complete airway obstruction, post obstructive pneumonia, respiratory distress, pneumothorax, or hemorrhage. If these cases are not properly managed and timely intervention is not carried out, it can
possess serious effects.
Therefore, dental practitioners should be aware of the protocol in management and prevention of swallowing or aspiration of dental objects. A Oro Tongue Guard was constructed in such a way that prevents swallowing of foreign objects.


Background History
Foreign body aspiration is rare in adults. Under the age of 15 years, it is seen around 18% of the cases. Around 27% of dental bridges have been reported to be aspirated.
Orthodontic appliances, endodontic files, or components of loose dentures are the second most commonly ingested objects. Cast or prefabricated restorations, which are to be cemented, have a higher chance of aspiration.^1'^ 1'^ 1 Ingestion of foreign objects was observed during root canal treatment around 0.12/100,000, whereas endodontic instrument ingestion was around 0.001/100,000. Orthodontic appliances 'ST are less commonly aspirated but not less varied in types of involved appliances. □)
D- Dental objects used during dental procedure and surgical procedures. These can
CD
range from teeth, instruments, to the clamp of rubber dam, restorative materials, gauze packs, and impression materials. Fixed prosthodontic appliances are the most common to ingest followed by orthodontic appliances among all dental specialties.


Objectives
1. To Provide Full Tongue Coverage shield 2. To Provide Throat Protecting guard
3. To Facilitate Mouth breathing on wearing the oro tongue guard.
28-jOct-2024/130663/202441082069/Form 2(Title Page)
Summary of the Invention
Early recognition of swallowed foreign bodies during any surgical or nonsurgical procedures related to oral cavity is the key to avoid catastrophic effects.
Conscientious patient selection, meticulous adherence to clinical procedures, periodic inspection of instruments and appliances for were and timely replacement if warranted, appropriate use of high-volume suction during high-risk procedures, as well as proper patient education are all vital factors in prevention. In this litigious era, it is our recommendation that appropriate consideration is to be given to the inclusion of such emergencies and their management in contemporary graduate curricula. A Prototype Oro Tongue Guard was prepared using the following steps: 1. Maxillary Alginate impression made with coverage of partial throat
extension.
2. Mandibular Alginate impression made with modified impression tray to facilitate coverage of the tongue in retruded position.


Casts poured using Dental stone and silicone material is used to fill the tongue
portion of the impression.
4. Throat guard was developed using silicone material perpendicularly to the
posterior extension of the tongue.
5. Both Throat portion and the Tongue portion is carved on silicone material to
suit different sizes of the mouth.
6. Vertical polypropylene stud projections and rounded metal beads were placed over the tongue portion of silicone material to suit holding mouth mirror and
suction tips.
7. Multiple Rounded metal beads placed in a row over upper part of the throat
portion.
8. Now, the final silicone prototype model is scanned. 9. 3D printing is followed to create the master prototype die. 10. First 2mm biocompatible soft splint sheet vaccum pressed to the die. 11. 2mm excess soft splint borders trimmed. 12. 4mm drill holes made to perforate the multiple rounded bead projections of the throat portion to facilitate mouth breathing. 13. Drill holes cleaned with air, water and transferred to the dental disclosing
solution (Alphaplac 2 tone).
14. After 24 hours it is taken out, washed and used for the procedures.


Detailed Description
This is highly variable and depends on whether it is a child or an adult. Any symptoms or signs are also largely dependent on where the object is impacted. About 75% of children who have an impacted foreign body will have it at the level of upper esophageal sphincter while roughly 70% of the adults have impaction at the level of Overall, about 60% of the foreign bodies become trapped at this level; patients usually have a clear sensation of something being trapped, discomfort, drooling of saliva, inability to swallow, airway compromise and also infection .
In adults, there are acute sensation, vague presentation of something being struck at the center of the chest or epigastric region, dysphagia, and salivary drooling/pooling.
In children, it presents with gagging, vomiting, retching, neck or throat pain, inability to feed, failure to thrive, fever, recurrent aspiration pneumonitis/pneumonia, or respiratory embarrassment/stridor (due to tracheal
impingement).
It may present with no symptoms such as- abdominal distension and discomfort, fever, recurrent vomiting, passing rectal blood, and melena, and other symptoms of acute or subacute intestinal obstruction may also be present



Advantages
1. Full Tongue Coverage shield 2. Throat Protecting guard 3. Facilitating Mouth breathing



CLAIMS
28-Oct-2024/130663/202441082069/Form 2(Title Page
1 /We Claim,
Claim 1: Oro Tongue Guard for Dental Procedures, said Oro Tongue Guard for
Dental Procedures includes: a Oral guard Portion (1), a Tongue Guard Portion (2),
a Vertical Slot (3)
Claim 2: Oro Tongue Guard for Dental Procedures of Claim 1, Wherein the Oral Guard Portion (1) Prevents accidental aspiration.
Claim 3: Oro Tongue Guard for Dental Procedures of Claim 1, Wherein the Tongue Guard Portion (2) safe guards from accidental injury.
Claim 4: Oro Tongue Guard for Dental Procedures of Claim 1, Wherein the Tongue Guard Portion (2) has a Vertical Slot (3) component for holding the mouth mirror or
Suction tube in position.


Claim 5: Oro Tongue Guard for Dental Procedures of Claim 1, Wherein Oro Tongue Guard for Dental Procedures is made up of Bio Compatible Plastic or
silicone material.
Claim 6: Oro Tongue Guard for Dental Procedures of Claim 1, Wherein Oro Tongue Guard for Dental Procedures has three sizes Small, medium, large
respectively.

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