Swallowed Dental Crown: What to Do When Foreign Objects Get Stuck?

Foreign body expulsion

Hello Doctor: On Thursday morning, while I was a bit groggy having breakfast, I accidentally swallowed my dental crown (the crown is approximately 1.5 cm wide and 1 cm high, and it is cemented in place).
I went to the emergency room where they took six X-rays, but the emergency doctor did not see anything on the images.
I was then referred to gastroenterology for an endoscopy, but nothing was found there either.
The gastroenterologist suggested that it might have moved into the duodenum and mentioned that it should pass through the digestive system.
However, I tend to be constipated, and since Thursday morning, I have only had one bowel movement today, but there is still no sign of the crown! The uncertainty is causing me psychological stress, and I am worried that it might be stuck in my intestines.
Should I take a laxative to expedite its passage, or should I continue eating bananas and wait?

donal, 20~29 year old female. Ask Date: 2008/12/13

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello, generally speaking, if a foreign object can pass through the stomach and enter the small intestine, the likelihood of injuring the intestinal wall is quite low unless it is a very sharp object.
Typically, such objects will be expelled through the colon via the anus.
However, sharp objects can puncture the intestinal wall, leading to severe abdominal pain and potentially causing peritonitis.
Best regards, Dr.
Chi-Feng Chen, Taoyuan General Hospital, Department of Health.

Reply Date: 2008/12/13

More Info

Swallowing a dental crown can be a concerning experience, and it's understandable that you're feeling anxious about the situation. Based on your description, it seems that the dental crown has passed through your stomach and is likely in your intestines, possibly the duodenum, as suggested by the gastroenterologist. Here’s a comprehensive guide on what to do next and how to manage your concerns.

Immediate Steps to Take
1. Monitor Symptoms: Keep an eye on any symptoms that may arise. If you experience severe abdominal pain, vomiting, or any signs of intestinal blockage (such as inability to pass gas or stool), seek medical attention immediately. These could be signs that the crown is causing an obstruction.

2. Dietary Adjustments: While you mentioned having a tendency towards constipation, it’s important to maintain a balanced diet that promotes regular bowel movements. Foods high in fiber, such as fruits (like bananas), vegetables, whole grains, and legumes, can help. Staying hydrated is equally crucial, so drink plenty of water.

3. Avoid Laxatives Initially: While it may be tempting to take a laxative to expedite the process, it’s generally advisable to avoid them unless absolutely necessary. Laxatives can sometimes lead to cramping and discomfort, and if the crown is still in your digestive tract, it may not be safe to induce a bowel movement artificially.

4. Gentle Physical Activity: Engaging in light physical activity, such as walking, can stimulate your digestive system and may help in moving things along naturally.

When to Seek Further Medical Attention
If you do not see any signs of the crown passing within a few days, or if you start experiencing any concerning symptoms, it’s wise to consult your healthcare provider again. They may recommend further imaging studies or interventions to ensure that the crown is not causing any complications.

Psychological Considerations
It’s completely normal to feel anxious about the situation. The fear of a foreign object being stuck in your body can be distressing. Here are some strategies to help manage your anxiety:
- Stay Informed: Understanding that many foreign objects, including dental crowns, can pass through the digestive system without causing harm can help alleviate some of your worries.

- Mindfulness and Relaxation Techniques: Practices such as deep breathing, meditation, or yoga can help reduce anxiety and promote a sense of calm.

- Talk to Someone: Sharing your concerns with a friend or family member can provide emotional support and help you feel less isolated in your worries.

Conclusion
In summary, while swallowing a dental crown can be alarming, the likelihood of it causing serious issues is low, especially if you are not experiencing any severe symptoms. Focus on maintaining a healthy diet, staying hydrated, and monitoring your body’s signals. If you have any doubts or if your symptoms change, do not hesitate to seek medical advice. Remember, your health and peace of mind are paramount, and it’s always better to err on the side of caution when it comes to your well-being.

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