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Journal of Prosthetic Dentistry
Tips from Our Readers| Volume 121, ISSUE 3, P544-545, March 2019

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Fabricating a low-cost autoclavable throat screen from a steamer mat

Published:November 30, 2018DOI:https://doi.org/10.1016/j.prosdent.2018.06.008
      The dental literature is full of reports of aspirated restorations and instruments.
      • Mark N.
      • Lessing J.
      • Çoruh B.
      Crowning achievement: a case of dental aspiration.
      • Susini G.
      • Pommel L.
      • Camps J.
      Accidental ingestion and aspiration of root canal instruments and other dental foreign bodies in a French population.
      • Venkataraghavan K.
      • Anantharaj A.
      • Praveen P.
      • Rani S.
      • Krishnan B.
      Accidental ingestion of foreign object: systematic review, recommendations and report of a case.
      • Kim E.
      • Noh W.
      • Panchal N.
      Mortality from an aspiration of dental crown during extraction.
      • Tiwana K.
      • Morton T.
      • Tiwana P.
      Aspiration and ingestion in dental practice: a 10-year institutional review.
      • Bhatnagar S.
      • Chandan G.
      • Gowda L.
      • Das U.
      • Prashanth S.
      • Shiggaon N.
      Foreign body ingestion in dental practice.
      Not all instruments or restorations can be secured to prevent this. It is in this context that the use of a cotton gauze throat screen,
      • Kim E.
      • Noh W.
      • Panchal N.
      Mortality from an aspiration of dental crown during extraction.
      • Tiwana K.
      • Morton T.
      • Tiwana P.
      Aspiration and ingestion in dental practice: a 10-year institutional review.
      • Bhatnagar S.
      • Chandan G.
      • Gowda L.
      • Das U.
      • Prashanth S.
      • Shiggaon N.
      Foreign body ingestion in dental practice.
      a simple double square of cotton gauze, is advocated to block the throat, thus preventing aspiration or swallowing. Unfortunately, the main reason most practitioners do not use such a throat screen is that cotton gauze is flimsy and unwieldy especially once wet.
      This article proposes the use of a silicone steamer mesh mat (a nonstick dumpling mat) instead of cotton gauze. Steamer mesh mats are sold for use as liners inside bamboo steamers that are used to cook dumplings and are readily available for approximately $2 per mat from online retailers such as eBay and Amazon under various brand names. A single round steamer mat can yield at least 4 throat screens, making each reusable and autoclavable (made of silicone rubber) throat screen a 50-cent investment toward clinical safety. The silicone throat screen is cut out with an arched shaped for the palate and 3 extensions for the cheeks and tongue. The overall mesh size required is 8×8 cm (Fig. 1). Mock retrieval of a bur from the author's mouth is pictured, illustrating the use of the throat screen (Fig. 2).
      Figure thumbnail gr1
      Figure 1Throat screen design to left (pictured above 6-inch ruler) cut out from silicone steamer mat, as pictured to right.
      Figure thumbnail gr2
      Figure 2Mock retrieval of bur caught on throat screen placed in author's mouth for illustration of placement and use of throat screen.

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