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Article: Volume 44 Number 10 Page 998 - November 2017

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  Dent Update 2017; 44: 998-1002

Restorative dentistry:  What’s Left in the Cleft? A Rare Complication Following Displacement of Dental Impression Material into a Palatal Cleft

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Abstract: Discoveries of foreign bodies lodged in the nose, palate and maxillary sinuses have been well documented. A rare, iatrogenic cause is displacement of dental impression material which, if left undetected at these sites, may lead to acute respiratory obstruction or chronic problems, such as nasal discharge and chronic sinusitis. This article reports the case of acute complications following displacement of dental impression material into a palatal cleft, discusses immediate surgical management, and considers restorative techniques that should be adopted to prevent such complications in patients with cleft palates.

Clinical relevance: Impression-taking in patients with cleft palate carries significant risks and appropriate referral to a multidisciplinary team is appropiate in order to avoid potentially life-threatening complications.

Author notes: Srishti Datta, BDS(Hons), BSc(Hons), MFDS RCS(Ed), Dental Core Trainee, Department of Oral Surgery, Abhishek Agarwal, BDS, MJDF MFDS(Edin), DipDSed(KCL), DipImpDent RCS(Eng), Specialty Doctor in Oral Surgery, Department of Oral Surgery, Dapo Akintola, BDS, FDS RCS(Eng), Consultant in Oral Surgery, Department of Oral Surgery and Aws Alani, BDS, MFDS, MSc, FDS RCS LLM, Consultant in Restorative Dentistry, Department of Restorative Dentistry, King’s College Hospital, Denmark Hill, London SE5 9RS, UK.

Objective: To highlight and minimize risks when taking impressions in patients with palatal clefts.