European Archives of Paediatric Dentistry

, Volume 20, Issue 2, pp 123–126 | Cite as

Accidental ingestion of a dental irrigation needle: a case report

  • H. Y. Asmarz
  • C. A. M. Benfati
  • M. BolanEmail author
Case Report



Providing patient’s safety during dental treatment procedures is mandatory. One of the preventable issues in dental treatments is foreign body ingestion or aspiration. Despite the rarely occurrence, these accidents could not be ignored due to high potential adverse consequences.

Case report

This case represents a rare incidence of an accidental ingestion of a curved irrigation needle by a 5-year-old boy in root canal treatment. Patient monitoring with chest and abdomen radiographs was done till, on the third day, the needle expelled uneventfully without surgical intervention.


Since most of dental treatments require small and sharp instruments, following the preventive and standard protocols is strictly recommended. In the case of accident, oral health care professionals should be aware of how to manage life-threatening situations.


Foreign body Patient safety Needle Irrigation 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

Informed consent was obtained from the individual participant included in this case report to use his radiographs as documents.


  1. Ayed AK, Jafar AM, Owayed A. Foreign body aspiration in children: diagnosis and treatment. Pediatric Surg Int. 2003;19(6):485–8.CrossRefGoogle Scholar
  2. Cameron SM, Whitlock WL, Tabor MS. Foreign body aspiration in dentistry: a review. J Am Dent Assoc. 1996;127(8):1224–9.CrossRefGoogle Scholar
  3. Cossellu G, Farronato G, Carrassi A, Angiero F. Accidental aspiration of foreign bodies in dental practice: clinical management and prevention. Gerodontology. 2015;32(3):229–33.CrossRefGoogle Scholar
  4. European Society of Endodontology. Consensus report of the quality guidelines for endodontic treatment. Int Endod J. 1994;27(3):115–24.CrossRefGoogle Scholar
  5. Fields RT Jr, Schow SR. Aspiration and ingestion of foreign bodies in oral and maxillofacial surgery: a review of the literature and report of five cases. J Oral Maxillofac Surg. 1998;56(9):1091–8.CrossRefGoogle Scholar
  6. Govila CP. Accidental swallowing of an endodontic instrument. A report of two cases. Oral Surg Oral Med Oral Pathol. 1979;48(3):269–71.CrossRefGoogle Scholar
  7. Grossman LI. Prevention in endodontic practice. J Am Dent Assoc. 1971;82(2):395–6.CrossRefGoogle Scholar
  8. Hill EE, Rubel B. A practical review of prevention and management of ingested/aspirated dental items. Gen Dent. 2008;56(7):691–4.Google Scholar
  9. Hodges ED, Durham TM, Stanley RT. Management of aspiration and swallowing incidents: a review of the literature and report of case. ASDC J Dent Child. 1992;59(6):413–9.Google Scholar
  10. Hyatt AT. Rubber dam. Br Dent J. 2002;193(10):548–9.Google Scholar
  11. Pinto A, Lanza C, Pinto F, Grassi R, Romano L, Brunese L, et al. Role of plain radiography in the assessment of ingested foreign bodies in the pediatric patients. Semin Ultrasound CT MR. 2015;36(1):21–7.Google Scholar
  12. Soergel KH, Hogan WJ. Therapeutic endoscopy. Hosp Pract (Office ed). 1983;18(5):81–92.CrossRefGoogle Scholar
  13. Tiwana KK, Morton T, Tiwana PS. Aspiration and ingestion in dental practice: a 10-year institutional review. J Am Dent Assoc. 2004;135(9):1287–91.CrossRefGoogle Scholar
  14. Webb WA. Management of foreign bodies of the upper gastrointestinal tract. Gastroenterology. 1988;94(1):204–16.CrossRefGoogle Scholar
  15. Yamalik N, Perea Pérez B. Patient safety and dentistry: what do we need to know? Fundamentals of patient safety, the safety culture and implementation of patient safety measures in dental practice. Int Dent J. 2012;62(4):189–96.CrossRefGoogle Scholar

Copyright information

© European Academy of Paediatric Dentistry 2019

Authors and Affiliations

  1. 1.Dentistry DepartmentFederal University of Santa CatarinaFlorianopolisBrazil
  2. 2.Dentistry DepartmentFederal University of Santa CatarinaFlorianópolisBrazil

Personalised recommendations