Can Patients Keep Extracted Teeth and Orthodontic Screws? - Dentistry

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Can patients take home removed bone screws or extracted teeth?


Hello, doctor.

1.
I had teeth extracted due to orthodontic treatment and intended to take them with me, but the doctor discarded them without asking.
Is it acceptable for a doctor to dispose of extracted teeth without first inquiring if the patient wishes to keep them? Since they have already been discarded, is there no way to retrieve them?
2.
The orthodontist informed me that the bone screws could be removed.
When I expressed my desire to keep the screws, the doctor stated that they typically do not allow patients to take them and would dispose of them as medical waste.
If they are going to be discarded anyway, why not allow the patient to keep them? Do patients have the right to decide whether or not to take home the extracted bone screws? If the doctor says no, can I insist on keeping them? After all, they are part of the orthodontic fees, and I genuinely want them as a keepsake.
I have seen online that some people shared their experiences of keeping items removed during orthodontic treatment (such as braces and bone screws), and their doctors allowed them to keep those items, so I assumed these items could be retained by the patient.

zero zero, 20~29 year old female. Ask Date: 2022/10/07

Dr. Lin Jiayong reply Dentistry


Hello: Medical waste does indeed carry a risk of infection, especially items like dental fragments or sharp bone pins.
Generally, these items are not intentionally kept for patients but are disposed of directly.
If you wish to keep such items as a memento, it is advisable to inform your physician of your "strong" desire to retain these items, and request that they be cleaned and packaged for you.
(For items that are self-paid, including diagnostic X-rays or models, ownership belongs to you, and the clinic may charge you for cleaning, processing, or document duplication fees.)

Reply Date: 2022/10/07

More Info


When it comes to dental extractions and orthodontic procedures, patients often have questions about their rights regarding the materials removed during treatment, such as extracted teeth and orthodontic screws. Here’s a comprehensive overview of the situation based on your queries.

1. Extracted Teeth: In many dental practices, it is standard protocol for the dentist to dispose of extracted teeth as medical waste. However, patients do have the right to request their extracted teeth before the procedure. It is advisable to communicate your wishes to your dentist prior to the extraction. If the tooth has already been disposed of, unfortunately, it cannot be retrieved. The disposal of extracted teeth is often done for health and safety reasons, as they are considered biohazardous materials. However, if you express your desire to keep the tooth beforehand, most dentists will accommodate this request.

2. Orthodontic Screws: Similar to extracted teeth, orthodontic screws (also known as bone screws or mini-implants) are typically considered medical waste once removed. Dentists and orthodontists may have policies in place that prevent them from giving these items back to patients. The rationale behind this is often related to infection control and the potential for these items to be misused or mishandled after removal. If you wish to keep the screws, it is best to discuss this with your orthodontist before the procedure. If they refuse, it is generally advisable to respect their policy, as they are likely adhering to health regulations.

3. Patient Rights and Communication: Patients have the right to be informed about their treatment and to express their preferences regarding their care. If you feel strongly about keeping your extracted teeth or orthodontic screws, it is important to communicate this clearly with your healthcare provider. While they may have standard practices, many providers are willing to accommodate patient requests when they are made known in advance.

4. Medical Waste Regulations: The handling of extracted teeth and orthodontic materials is governed by medical waste regulations, which vary by region. These regulations are in place to ensure patient safety and public health. Therefore, while you may have a personal desire to keep these items, healthcare providers must comply with these regulations, which can limit their ability to return such items to patients.

5. Cultural and Personal Significance: For many patients, keeping an extracted tooth or orthodontic screw can hold sentimental value. It can serve as a reminder of a significant life event, such as completing orthodontic treatment. If this is important to you, consider discussing it with your dentist or orthodontist during your initial consultations. They may be able to provide guidance on how to proceed or suggest alternatives that allow you to commemorate your treatment.

In conclusion, while patients may wish to keep extracted teeth or orthodontic screws, it is essential to communicate these desires with your dental care provider beforehand. Understanding the policies and regulations surrounding medical waste can help set realistic expectations. If you feel strongly about your rights as a patient, do not hesitate to advocate for yourself while also respecting the professional guidelines your healthcare provider must follow.

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