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Case Reports
. 2013 Apr;7(2):225-228.
doi: 10.4103/1305-7456.110191.

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

Mahesh R  1 , Vishnu Prasad  2 , Padma A Menon  3
Affiliations
Case Reports

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

Mahesh R et al. Eur J Dent. 2013 Apr.

Abstract

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.

Keywords: Attention-deficit hyperactivity disorder; aspiration; bronchoscopy; conscious sedation; endodontic instrument; rubber dam.

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Conflict of interest statement

Conflict of Interest: None declared

Figures

Figure 1
Figure 1
Lateral chest view with the impacted endodontic file lodged at the T4 level
Figure 2
Figure 2
Diagnostic CT image showing the endodontic file in the left main bronchus
Figure 3
Figure 3
Bronchoscopy image of the file embedded in the wall of the left bronchial mucosa
Figure 4
Figure 4
Photograph of the bronchus showing the bronchoscope grasper engaging the endodontic file during retrieval
See this image and copyright information in PMC

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