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European Archives of Paediatric Dentistry

, Volume 14, Issue 5, pp 359–362 | Cite as

A foreign body in disguise

  • R. LeithEmail author
  • A. C. O’Connell
Case Report

Abstract

Background

Young children habitually place objects in their mouths to discover and learn about the world and it is considered a normal stage of early childhood development. Ingestion and aspiration of foreign objects predominantly occurs in preschool toddlers with a peak incidence at age three years, and can have serious consequences.

Case report

A 2-year-old boy presented to the Dublin Dental University Hospital with a tooth-coloured mass tightly adherent to a lower primary incisor. The lesion surrounded the cervical third of the crown on the lower right primary central incisor and extended subgingivally. The tooth was mobile but with minimal inflammation.

Treatment

The tooth was subsequently extracted under general anaesthesia to reveal that the mass was in fact a foreign body, although this was originally thought unlikely as a cause.

Follow-up

The patient underwent an unremarkable recovery.

Conclusion

The case of a foreign body disguised as a tooth-like abnormality was only identified under general anaesthesia, and even then it was impossible to prise the object from the tooth in situ. Misdiagnosis of impacted foreign bodies in young children presents complicated diagnostic problems.

Keywords

Foreign body Primary tooth 

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Copyright information

© European Academy of Paediatric Dentistry 2013

Authors and Affiliations

  1. 1.Department of Public and Child Dental Health, Trinity College DublinDublin Dental University HospitalDublin 2Ireland

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