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Age and Ageing Advance Access originally published online on June 19, 2005
Age and Ageing 2005 34(5):519-520; doi:10.1093/ageing/afi124
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© The Author 2005. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org

Case Report

Mystery of the missing denture: an unusual cause of respiratory arrest in a nonagenarian

Amit Arora1, Mona Arora2 and Christine Roffe1

1 School of Medicine, Keele University, Staffordshire, UK
2 Staffordshire General Hospital, Stafford, UK

Address correspondence to: A. Arora. Springfield Unit, University Hospital of North Staffordshire, Stoke on Trent, UK. Fax: (+44) 1782 552138. Email: Amit.Arora{at}northstaffs.nhs.uk
The work was carried out at the University Hospital of North Staffordshire, Stoke on Trent

To ask older people about loose or ill-fitting dentures is not common practice during a hospital admission. Our patient presented to the emergency department following a primary respiratory arrest. A dislodged denture was extracted from the hypo-pharynx under local anaesthesia and was presumably the cause of the respiratory arrest. Any delays in finding the missing denture and its extraction could have resulted in the patient being given a general anaesthetic and its associated complications. We suggest that asking about loose-fitting dentures should form part of comprehensive geriatric assessment.

Keywords: Loose dentures, older people, respiratory arrest, comprehensive geriatric assessment

Received March 24, 2005; accepted in revised form May 4, 2005.


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