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Figure 5.; Anteroposterior Radiograph After Passing the Amalgam Fragment Anteroposterior radiograph obtained approximately 4 hours after the initial anteroposterior radiograph showing the amalgam fragment no longer present and presumed to have passed into the stomach.
Tiffany Smith,
Rachel Blum, and
Raquel Rozdolski
Figure 5.
Figure 5.

Anteroposterior Radiograph After Passing the Amalgam Fragment

Anteroposterior radiograph obtained approximately 4 hours after the initial anteroposterior radiograph showing the amalgam fragment no longer present and presumed to have passed into the stomach.

Figure 1.; Initial Anteroposterior Radiograph Containing an Amalgam Fragment Anteroposterior radiograph obtained upon patient's arrival at the emergency department. The amalgam fragment was located lateral to the midline at the level of C6.
Tiffany Smith,
Rachel Blum, and
Raquel Rozdolski
Figure 1.
Figure 1.

Initial Anteroposterior Radiograph Containing an Amalgam Fragment

Anteroposterior radiograph obtained upon patient's arrival at the emergency department. The amalgam fragment was located lateral to the midline at the level of C6.

Figure 2.; Initial Lateral Radiograph Containing an Amalgam Fragment Lateral radiograph obtained upon patient's arrival at the emergency department. The amalgam fragment was located within the esophagus at the level of C6.
Tiffany Smith,
Rachel Blum, and
Raquel Rozdolski
Figure 2.
Figure 2.

Initial Lateral Radiograph Containing an Amalgam Fragment

Lateral radiograph obtained upon patient's arrival at the emergency department. The amalgam fragment was located within the esophagus at the level of C6.

Figure 6.; Lateral Radiograph After Passing the Amalgam Fragment Lateral radiograph obtained approximately 4 hours after the initial lateral radiograph. The amalgam fragment is no longer present and presumed to have passed into the stomach. Extracorporeal radiopacities represent hospital gown buttons (green arrowheads).
Tiffany Smith,
Rachel Blum, and
Raquel Rozdolski
Figure 6.
Figure 6.

Lateral Radiograph After Passing the Amalgam Fragment

Lateral radiograph obtained approximately 4 hours after the initial lateral radiograph. The amalgam fragment is no longer present and presumed to have passed into the stomach. Extracorporeal radiopacities represent hospital gown buttons (green arrowheads).

Figure 4.; Lateral Radiograph With an Outline of the Esophagus and a Potential Zenker's Diverticulum The esophagus and likely position of the Zenker's diverticulum on the lateral radiograph have been outlined in red. This outline has been provided to explain the lateral positioning of the amalgam fragment seen in Figure 1.
Tiffany Smith,
Rachel Blum, and
Raquel Rozdolski
Figure 4.
Figure 4.

Lateral Radiograph With an Outline of the Esophagus and a Potential Zenker's Diverticulum

The esophagus and likely position of the Zenker's diverticulum on the lateral radiograph have been outlined in red. This outline has been provided to explain the lateral positioning of the amalgam fragment seen in Figure 1.

Figure 3.; Anteroposterior Radiograph With an Outline of the Esophagus and a Potential Zenker's Diverticulum The esophagus and likely position of the Zenker's diverticulum on the anteroposterior radiograph have been outlined in red. This provides an explanation for the lateral positioning of the amalgam fragment seen in Figure 1.
Tiffany Smith,
Rachel Blum, and
Raquel Rozdolski
Figure 3.
Figure 3.

Anteroposterior Radiograph With an Outline of the Esophagus and a Potential Zenker's Diverticulum

The esophagus and likely position of the Zenker's diverticulum on the anteroposterior radiograph have been outlined in red. This provides an explanation for the lateral positioning of the amalgam fragment seen in Figure 1.

Management of an Ingested Foreign Body in a COVID-Positive Patient
Tiffany SmithBS,
Rachel BlumBS, and
Raquel RozdolskiDMD
Article Category: Case Report
Volume/Issue: Volume 70: Issue 4
Online Publication Date: Jan 15, 2024
DOI: 10.2344/anpr-70-03-03
Page Range: 178 – 183

ingested or aspirated materials is removal via flexible endoscopy. 2 This case report describes an incident in which a dental provider failed to place any type of throat screen or airway protection, which resulted in the ingestion of an amalgam fragment during the removal of an existing restoration. The patient incidentally tested positive for COVID-19 during workup for the fragment removal, thus eliminating the possibility for esophagogastroduodenoscopy (EGD). This case also highlights alternative management for dental foreign body ingestion and challenges the

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Cardiovascular Collapse Associated With Irreversible Cardiomyopathy, Chronic Renal Failure, and Hypertension During Routine Dental Care
Sean ThomsDMD, MS,
Matthew CookeDDS, MD, MPH, and
James CrawfordDMD
Article Category: Case Report
Volume/Issue: Volume 63: Issue 1
Online Publication Date: Jan 01, 2016
DOI: 10.2344/0003-3006-63.1.34
Page Range: 34 – 41

. CASE DESCRIPTION A 65-year old, 155-cm (5 foot, 1 inch), African American female weighing 70 kg presented to the University of Pittsburgh, School of Dental Medicine, for a single amalgam filling in the undergraduate dental clinic. The patient had a significant health history consisting of hypertension, angina, poorly controlled congestive heart failure, asthma, epilepsy, and end-stage renal disease for which she was hemodialyzed via a fistula in her left forearm 4 times per week. Other medical history included gastroesophageal reflux disease

The Effect of Local Anesthetic on Quality of Recovery Characteristics Following Dental Rehabilitation Under General Anesthesia in Children
Janice A. TownsendDDS, MS,
Steven GanzbergDMD, MS, and
S. ThikkurissyDDS, MS
Article Category: Research Article
Volume/Issue: Volume 56: Issue 4
Online Publication Date: Jan 01, 2009
DOI: 10.2344/0003-3006-56.4.115
Page Range: 115 – 122

standardized amount of 0.3 mL was administered for each tooth with stainless steel crowns or extractions (not for composite or amalgam restorations) utilizing premarked dental cartridges, not to exceed 7.0 mg/kg based on lidocaine dosage. The anesthetic infiltration took place prior to the commencement of the last sextant of operative dentistry. The surgeon and anesthesiologist were not blinded to local anesthetic administration in this study to allow for proper emergency care and record-keeping. After transfer to PACU, subjects were monitored by a registered nurse