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Year : 2021  |  Volume : 11  |  Issue : 3  |  Page : 412-417

Inadvertent pulmonary aspiration of endodontic hand instrument -procedural negligence and litigation: Case report

1 Department of Dentistry, BPS GMC for Women, Khanpur Kalan, Rohtak, Haryana, India
2 Department of Dentistry, GMC, Jalaun, Uttar Pardesh, India
3 Department of Oral and Maxillofacial Surgery, PGIDS, Rohtak, Haryana, India

Correspondence Address:
Dr. Monika Khangwal
BPS GMC for Women Khanpur Kalan, Sonipat, Haryana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sej.sej_156_20

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Aspiration/ingestion in dentistry is rare but serious complication. Dentist should be tremendously conscientious during any intercession, especially in supine position and the management of small instrument. A 21-year-old male patient reported in apprehension with a complaint of aspiration/ingestion of endodontic hand file instrument while undergoing root canal treatment. A prompt Non-Contrast Computed Tomography of the thorax was done, which discovered an endodontic file in the right bronchus. The patient was well-versed about the existence of the instrument and was instantly admitted to the Pulmonary Medicine Department. High-risk consent was duly signed by the patient before treatment. Flexible fiberoptic Bronchoscopy was considered for retrieval of the instrument under local anesthesia. A successful bronchoscopy was performed, and the endodontic instrument was retrieved. The patient was kept under observation for any symptoms. Follow-up chest-X ray done immediately and after 6 months. Consequently, focused Ethical standard practice guidelines, including rubber dam isolation, should be followed in dentistry/endodontic procedure to lessen unreasonable, difficult perilous situations, and negligence litigations.

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