Oral Surgery · single question

After a patient swallows a dental crown during treatment, which of the following is NOT a concern for the patient?

  1. Bradycardia (slow pulse)
  2. Choking or aspiration
  3. Obstruction of the GI tract
  4. Passing the object naturally
Show answer and explanation

Correct answer: A. Bradycardia (slow pulse)

If a crown is swallowed (goes to the stomach), the primary concerns are: GI obstruction (if the crown is large) and monitoring for natural passage. Most smooth crowns pass through the GI tract without incident. Bradycardia (slow pulse) is NOT a consequence of swallowing a crown — this would only be relevant if a vagal response occurred during the event. Aspiration (going to the lungs instead of stomach) is a separate, more serious concern.
  • A. ✅ CORRECT – Bradycardia (slow pulse) is NOT a consequence of swallowing a dental crown.
  • B. ❌ Choking/aspiration is a concern if the crown went to the airway rather than the esophagus — must confirm with radiograph.
  • C. ❌ GI obstruction is possible if the crown lodges somewhere in the GI tract.
  • D. ❌ Most crowns pass naturally; patient should be advised to monitor for passage and have a radiograph taken.

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