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CASE REPORT
Year : 2022  |  Volume : 10  |  Issue : 2  |  Page : 48-52

Successful retrieval of an accidentally ingested endodontic file from the body of stomach using endoscopy: A case report


1 Department of Conservative Dentistry and Endodontics, Vokkaligara Sangha Dental College and Hospital, Bengaluru, Karnataka, India
2 Department of Surgical Gastroenterology, Kempegowda Institute of Medical Sciences, Bengaluru, Karnataka, India
3 Private Practitioner, Conservative Dentistry and Endodontics, Bengaluru, Karnataka, India
4 Department of Oral Medicine and Radiology, Vokkaligara Sangha Dental College and Hospital, Bengaluru, Karnataka, India

Correspondence Address:
Dr. M S Adarsha
Department of Conservative Dentistry and Endodontics, Vokkaligara Sangha Dental College and Hospital, Bengaluru, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/INJO.INJO_12_22

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Iatrogenic mishaps are often encountered in dental office but ingestion of sharp objects such as endodontic file is the most undesirable accident, which can result in fatal complications. Moreover, these accidents are considered as a negligence of dentist from a legal point of view. A 45-year-old patient complained pain in the right lower back tooth since 1 week. The tooth was diagnosed with chronic irreversible pulpitis and a conventional root canal treatment was planned. Patient accidentally swallowed the file during the extirpation of the pulp from distal canal of molar with a 20 K endodontic file. No sign of respiratory distress was reported. Immediately anterior–posterior X-ray of chest and abdomen was taken. The file was located in the body of stomach and was successfully retrieved by endoscopy. This case report signifies that the dentist must follow the standard operating procedure (SOP), for example, use of rubber dam and hand files secured with dental floss to prevent catastrophic mishaps. Endoscopic management is the early, safe, and effective emergency procedure to retrieve a foreign body, especially sharp objects in the gastrointestinal tract to prevent further complications.


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