Swallowed Orthodontic Wire: What You Need to Know and Do

Q: Swallowed Orthodontic Wire: What You Need to Know and Do

Hello： If a foreign object is inhaled into the trachea or enters the lungs, it can be more problematic. <br>However, if it is only swallowed and enters the esophagus and digestive tract, it is generally safer. <br>Typically, it will be expelled with the stool within 3-5 days. <br

Swallowing a wire from braces?

I would like to ask the doctor, yesterday when I went to the clinic for my braces adjustment, the orthodontist attached a new wire and cut off the excess wire.
When he was cutting the left side, he used one hand to hold the clip and the other hand to cut, and he did remove the broken wire.
However, when he cut the right side, he only cut it without using the clip.
Afterward, he asked me to rinse my mouth and spit out something (but he didn’t specify what to spit out).
I rinsed my mouth and spat out water, and there were no foreign objects.
After lying back down, the orthodontist searched again and said he couldn’t find it.
He searched twice in total, and later when I asked the nurse, she said the doctor should have already removed it, and that it was nothing to worry about.
I looked it up online and found that a similar incident occurred in 2009, where a dental floss ring had to be surgically removed.
Currently, I have no physical symptoms, but I am a bit worried since the wire is quite hard and may be bent.
I would like to ask the doctor… does swallowing a braces wire have any effects on the body? Or what kind of examinations should I undergo to be safe?

Niming, 20~29 year old female. Ask Date: 2020/01/10

Dr. Lin Jiayong reply Dentistry

Hello: If a foreign object is inhaled into the trachea or enters the lungs, it can be more problematic.
However, if it is only swallowed and enters the esophagus and digestive tract, it is generally safer.
Typically, it will be expelled with the stool within 3-5 days.
If you are still concerned and want to confirm, it is advisable to go to a larger hospital for an X-ray.
Thank you!

Reply Date: 2020/01/10

More Info

Swallowing orthodontic wire can be a concerning experience, and it's understandable that you are feeling anxious about it. Orthodontic wires are typically made from stainless steel or other durable materials, which can pose risks if ingested. Here’s what you need to know and what steps you should consider taking.

Potential Risks of Swallowing Orthodontic Wire
1. Gastrointestinal Obstruction: If the wire is long enough or has sharp edges, it could potentially cause a blockage in the gastrointestinal tract. This is particularly a concern if the wire is not able to pass through the intestines naturally.

2. Perforation: Sharp ends of the wire can cause perforations in the gastrointestinal tract, which can lead to serious complications such as peritonitis, a life-threatening condition requiring immediate medical attention.

3. Infection: If the wire causes any injury to the lining of the gastrointestinal tract, it may lead to infection.

Immediate Steps to Take
1. Monitor Symptoms: Keep an eye on any symptoms that may arise. These can include abdominal pain, vomiting, difficulty swallowing, or changes in bowel movements. If you experience any of these symptoms, seek medical attention immediately.

2. Consult a Healthcare Professional: It is advisable to contact your dentist or an emergency room to discuss the incident. They may recommend imaging studies, such as an X-ray or CT scan, to determine if the wire is still in your system and its location.

3. Avoid Self-Diagnosis: While it’s good to research, avoid jumping to conclusions based on anecdotal evidence or past cases. Each situation is unique, and a healthcare professional can provide tailored advice based on your specific circumstances.

Follow-Up Care
1. Imaging Studies: If you are advised to do so, imaging studies can help visualize the wire's location. If it is found in the gastrointestinal tract, doctors will assess whether it can pass naturally or if surgical intervention is necessary.

2. Dietary Adjustments: If the wire is still in your system, you may be advised to follow a specific diet to help facilitate its passage. This may include a high-fiber diet and increased fluid intake.

3. Regular Check-Ups: Depending on the situation, your healthcare provider may recommend follow-up appointments to monitor your condition.

Conclusion
In summary, while swallowing orthodontic wire can be concerning, many cases resolve without significant complications. However, it is crucial to remain vigilant and seek medical advice promptly. If you notice any unusual symptoms, do not hesitate to seek immediate medical attention. Your health and safety are paramount, and a healthcare professional can provide the best guidance tailored to your situation. Remember, it’s always better to err on the side of caution when it comes to potential foreign objects in the body.

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