Oral Surgery · single question

When the provisional crown falls to the back of the patient's throat and cannot be retrieved, the patient reports no breathing difficulty. What is the next step?

  1. Deliver the final crown now
  2. Remake the provisional immediately
  3. Send the patient for a chest x-ray
  4. Send the patient home with antibiotics
Show answer and explanation

Correct answer: C. Send the patient for a chest x-ray

  • A. Incorrect. Remaking the provisional does not address the missing foreign body that may have been aspirated.
  • B. Incorrect. Delivering the final crown without locating the provisional is inappropriate.
  • C. Correct. Even without breathing difficulty, a foreign body can be silently aspirated into the right main bronchus. A chest x-ray is MANDATORY to locate the provisional and rule out aspiration.
  • D. Incorrect. Antibiotics do not address an unlocated foreign body. Sending the patient home is negligent.

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