CC BY-NC-ND 4.0 · Eur J Dent 2013; 07(02): 225-228
DOI: 10.4103/1305-7456.110191
Case Report
Dental Investigation Society

A case of accidental aspiration of an endodontic instrument by a child treated under conscious sedation

Mahesh R.
1   Department of Pedodontics and Preventive Dentistry, Madha Dental College and Hospital, Chennai, Tamil Nadu, India
Vishnu Prasad
2   Department of Community Dentistry, Karpaga Vinayaka Dental College, Chennai, Tamil Nadu, India
Padma A. Menon
3   Department of Pedodontics and Preventive Dentistry, Sri Ramakrishna Dental College and Hospital, Coimbatore, Tamil Nadu, India
› Institutsangaben
Weitere Informationen


09. März 2020 (online)


Dental management of children with attention-deficit hyperactivity disorder (ADHD) often requires the need for pharmacological behavior management techniques such as the use of sedation. The purpose of this article is to describe a clinical case involving accidental aspiration of an Endodontic instrument during root canal therapy under sedation. To our knowledge, this is the first case report of aspiration of an Endodontic instrument and should serve to heighten the awareness with regard to aspiration during dental procedures under sedation. It also emphasizes the need for proper isolation techniques in patients treated under sedation, thereby preventing such complications.


  • 1 Tiwana KK, Morton T, Tiwana PS. Aspiration and ingestion in dental practice: A 10-year institutional review. J Am Dent Assoc 2004; 135: 1287-91
  • 2 Leith R, Fleming P, Redahan S, Doherty P. Aspiration of an avulsed primary incisor: A case report. Dent Traumatol 2008; 24: e24-6
  • 3 American Academy on Pediatrics; American Academy on Pediatric Dentistry. Guideline for monitoring and management of pediatric patients during and after sedation for diagnostic and therapeutic procedures. Pediatr Dent 2008; 30: 143-59
  • 4 Holroyd I. Conscious sedation in pediatric dentistry. A short review of the current UK guidelines and the technique of inhalational sedation with nitrous oxide. Paediatr Anaesth 2008; 18: 13-7
  • 5 American Academy on Pediatric Dentistry Ad Hoc Committee on Sedation and Anesthesia; American Academy on Pediatric Dentistry Council on Clinical Affairs. Policy on the use of deep sedation and general anesthesia in the pediatric dental office. Pediatr Dent 2008; 30: 66-7
  • 6 Clinical practice guideline: Diagnosis and evaluation of the child with attention-deficit/hyperactivity disorder. American Academy of Pediatrics. Pediatrics 2000; 105: 1158-70
  • 7 Bimstein E, Wilson J, Guelmann M, Primosch R. Oral characteristics of children with attention-deficit hyperactivity disorder. Spec Care Dentist 2008; 28: 107-10
  • 8 Katz-Sagi H, Redlich M, Brinsky-Rapoport T, Matot I, Ram D. Increased dental trauma in children with attention deficit hyperactivity disorder treated with methylphenidate--a pilot study. J Clin Pediatr Dent 2010; 34: 287-9
  • 9 Chowdhury J, Vargas KG. Comparison of chloral hydrate, meperidine, and hydroxyzine to midazolam regimens for oral sedation of pediatric dental patients. Pediatr Dent 2005; 27: 191-7
  • 10 Susini G, Pommel L, Camps J. Accidental ingestion and aspiration of root canal instruments and other dental foreign bodies in a French population. Int Endod J 2007; 40: 585-9
  • 11 Kuo SC, Chen YL. Accidental swallowing of an Endodontic file. Int Endod J 2008; 41: 617-22
  • 12 Seals ML, Andry JM, Kellar PN. Pulmonary aspiration of a metal casting: Report of case. J Am Dent Assoc 1988; 117: 587-8
  • 13 Adewumi A, Kays DW. Stainless steel crown aspiration during sedation in pediatric dentistry. Pediatr Dent 2008; 30: 59-62
  • 14 Holan G, Ram D. Aspiration of an avulsed primary incisor. A case report. Int J Paediatr Dent 2000; 10: 150-2
  • 15 Ulku R, Baskan Z, Yavuz I. Open surgical approach for a tooth aspirated during dental extraction: A case report. Aust Dent J 2005; 50: 49-50
  • 16 Oguzkaya F, Akcali Y, Kahraman C, Bilgin M, Sahin A. Tracheobronchial foreign body aspirations in childhood: A 10-years experience. Eur J Cardiothorac Surg 1998; 14: 388-92
  • 17 Lynch CD, McConnell RJ. Attitudes and use of rubber dam by Irish general dental practitioners. Int Endod J 2007; 40: 427-32
  • 18 Selbst AG. Understanding informed consent and its relationship to the incidence of adverse treatment events in conventional endodontic therapy. J Endod 1990; 16: 387-90
  • 19 Cameron SM, Whitlock WL, Tabor MS. Foreign body aspiration in dentistry: A review. J Am Dent Assoc 1996; 127: 1224-9
  • 20 Obinata K, Satoh T, Towfik AM, Nakamura M. An investigation of accidental ingestion during dental procedures. J Oral Sci 2011; 53: 495-500