Accidentally Swallowed Dental Amalgam: What to Do Next?

Q: Accidentally Swallowed Dental Amalgam: What to Do Next?

Hello： It is recommended to first consult a family medicine or general internal medicine physician to investigate the cause of vomiting. <br>If the ingested metal is less than 2.5 cm and does not have sharp edges, it is advised to continue monitoring with X-rays or endoscopy. <br

Accidentally ingested a whole piece of silver powder filling material?

Hello doctor, I just discovered a gap in my tooth after eating, and I accidentally ingested a whole piece of dental amalgam.
I have already induced vomiting, but I cannot confirm if it was expelled.
After researching, I found that other individuals who ingested dental amalgam typically consumed only small amounts.
I would like to know how to manage the situation after swallowing a whole piece and which department I should visit for treatment.
Should I go to the emergency room? I am currently feeling unwell, experiencing frequent nausea, and I have chronic illnesses and pain.
I am very anxious and upset about this situation and do not want to take it lightly.

zhāngyú, 30~39 year old female. Ask Date: 2024/01/06

Dr. Lin Jiayong reply Dentistry

Hello: It is recommended to first consult a family medicine or general internal medicine physician to investigate the cause of vomiting.
If the ingested metal is less than 2.5 cm and does not have sharp edges, it is advised to continue monitoring with X-rays or endoscopy.
Additionally, keep an eye on whether it has been passed in the stool.

Reply Date: 2024/01/06

More Info

If you have accidentally swallowed dental amalgam, it is important to take the situation seriously, especially if you are experiencing symptoms like nausea or vomiting. Dental amalgam is a mixture of metals, including mercury, silver, tin, and copper, and while small amounts are generally considered safe, swallowing a larger piece can raise concerns.

Here’s what you should do next:
1. Stay Calm: First and foremost, try to remain calm. Anxiety can exacerbate physical symptoms, so take deep breaths and try to relax.

2. Do Not Induce Vomiting Again: Since you have already attempted to induce vomiting without success, it is not advisable to try again. Inducing vomiting can sometimes cause more harm than good, especially if the swallowed material could cause injury on the way back up.

3. Monitor Symptoms: Pay close attention to your symptoms. If you experience severe abdominal pain, persistent vomiting, difficulty breathing, or any other alarming symptoms, seek medical attention immediately.

4. Seek Medical Attention: Given that you have chronic health issues and are feeling unwell, it is advisable to visit a healthcare provider. You can go to an urgent care facility or the emergency department. Inform the medical staff about the situation, including the fact that you have swallowed dental amalgam and any symptoms you are experiencing.

5. Consult a Specialist: Depending on the severity of your symptoms, you may be referred to a gastroenterologist or a toxicologist. They can provide specialized care and advice on how to manage the situation.

6. Follow-Up Care: After the initial evaluation, your healthcare provider may recommend follow-up care or monitoring. This could include imaging studies to ensure that the amalgam has passed through your digestive system without causing any blockage or injury.

7. Hydration and Diet: If you are feeling nauseous, try to stay hydrated. Sip on clear fluids like water or broth. Avoid solid foods until you feel better. If vomiting persists, you may need to be evaluated for dehydration.

8. Mental Health Support: Given your feelings of panic and distress, consider reaching out to a mental health professional. They can help you cope with the anxiety that may arise from this incident.

In summary, swallowing dental amalgam can be concerning, but with appropriate medical attention, most cases resolve without serious complications. It is crucial to seek medical help, especially since you are experiencing discomfort and have underlying health issues. Your healthcare provider will be able to guide you through the next steps and ensure your safety.

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