none 10.31254/dentistry.2025.10303 BioMed Research Publishers BioMed Research Publishers 16195 191232952 314763 20260308052548514 10.31254 2026-03-08T05:25:53Z 2026-03-08T05:25:52Z 0 International Journal of Dentistry Research Int J Dentistry Res 25813218 10.31254/dentistry https://www.dentistryscience.com/ 01 17 2026 10 3 Moon Roy PG Student, Department of Pediatric and Preventive Dentistry, Triveni Institute of Dental Sciences, Hospital and Research Center, Bilaspur- 495220, Chhattisgarh, India Roli Agrawal Head of Department, Department of Pediatric and Preventive Dentistry, Triveni Institute of Dental Sciences, Hospital and Research Center, Bilaspur- 495220, Chhattisgarh, India NR Sowmya Senior Lecturer, Department of Pediatric and Preventive Dentistry, Triveni Institute of Dental Sciences, Hospital and Research Center, Bilaspur- 495220, Chhattisgarh, India AT Manish Senior Lecturer, Department of Oral Pathology and Microbiology, Triveni Institute of Dental Sciences, Hospital and Research Center, Bilaspur- 495220, Chhattisgarh, India Soumya Ranjan Patra PG Student, Oral Medicine and Radiology, Triveni Institute of Dental Sciences, Hospital and Research Center, Bilaspur- 495220, Chhattisgarh, India Accidental aspiration and ingestion is a potential clinical complication commonly seen in all the field of dentistry. It is observed that ingestion is the most prevalent emergency during dental procedures and 80% of cases occurring in children. Early diagnosis of foreign bodies ingestion in a dental operatory and awareness of its signs and symptoms are very crucial. 80-90% of ingested foreign items will pass through the gastrointestinal tract uneventfully while 10%-20% may require endoscopic removal but only 1% or less may necessitate surgical intervention. A 4-years-old patient with his parents reported to the Department of pediatric & preventive Dentistry with the chief complaint of pain in primary mandibular left first molar tooth. On clinical examination, primary mandibular left first molar was carious and diagnosed with symptomatic irreversible pulpitis, so routine pulpectomy procedure was performed. During the procedure, an endodontic instrument (Pro Taper hand file, Dentsply) slipped from the operator's hand as the patient abruptly moved his head. Due to the uncooperative behavior of the child rubber dam placement during the procedure was difficult. An unsuccessful attemptation was done to retrieve the file. Then the patient was immediately transferred to a neighbouring medical emergency center for the further investigations. Antero-posterior chest & stomach radiographs confirmed the position of the file in the descending colon, and serial radiographs were used to monitor its transition and clearance through the gastrointestinal tract. Ingestion of dental instruments can be life threatening and should be managed cautiously, with early input from different specialist physicians for possible endoscopic retrieval, emergent laparotomy, or surgical intervention with various imaging studies. 01 17 2026 89 91 1 10.31254/biomed-crossmark-policy www.biomedresearch.org false 10.31254/dentistry.2025.10303 https://www.dentistryscience.com/IJDR_2025103_03.pdf