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Oral Surgery · single question

While trying in an implant crown, the screw drops to the back of the throat and cannot be retrieved. Next step?

  1. Remake the provisional
  2. Deliver the final crown
  3. Send the patient for a CHEST x-ray
  4. Send home with an antibiotic prescription
Show answer and explanation

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

  • A. Incorrect. Managing the prosthesis is irrelevant to the urgent airway concern.
  • B. Incorrect. Delivering the crown ignores the potentially aspirated foreign body.
  • C. Correct. An unretrieved object that went toward the throat must be localized; a chest (and/or abdominal) radiograph determines whether it was ASPIRATED into the airway/lungs (an emergency) versus swallowed.
  • D. Incorrect. Antibiotics do not address a possibly aspirated foreign body; imaging and possible referral are required.

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