Chandra Aakriti, Thosar Nilima, Yeluri Ramakrishna, Rahate Ishani, Deshkar Mrunali
Department of Pediatric and Preventive Dentistry, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research (Deemed to Be University, Sawangi (Meghe), Wardha, Maharashtra, India.
J Med Case Rep. 2025 Aug 7;19(1):396. doi: 10.1186/s13256-025-05468-9.
While foreign body ingestion is a frequent pediatric emergency, instances of foreign objects becoming lodged in teeth are uncommon. These can lead to infections, pain, and abscesses if left untreated. Imaging techniques such as radiovisiography and cone beam computed tomography help in detection and diagnosis.
A 6-year-old Indian girl was brought in with black discoloration in her upper front tooth (61) for 6 months. The initial history of biting a stone was inconsistent with radiographic findings. Radiovisiography showed a radiopaque object, and cone beam computed tomography confirmed a metallic foreign body-later identified as a stapler pin-embedded in the root canal. Upon further questioning, the child disclosed self-insertion of the pin. The object was retrieved, and the tooth was successfully treated with pulpectomy and strip crown cementation.
Timely diagnosis and intervention are crucial in managing foreign body inclusions in teeth. Parents should be advised about the risks of children placing small objects in their mouths, and early treatment of carious lesions is essential.
虽然异物摄入是常见的儿科急症，但异物嵌顿于牙齿的情况并不常见。若不治疗，这些情况可能会导致感染、疼痛和脓肿。诸如放射成像和锥形束计算机断层扫描等成像技术有助于检测和诊断。
一名6岁印度女孩因上前牙（61）出现黑色变色6个月前来就诊。最初咬石头的病史与影像学检查结果不符。放射成像显示一个不透射线的物体，锥形束计算机断层扫描证实根管内有一个金属异物——后来确定为订书钉——嵌入其中。经进一步询问，孩子透露是自己将钉子插入的。异物被取出，牙齿成功接受了牙髓摘除术和带环冠粘结治疗。
及时诊断和干预对于处理牙齿内的异物至关重要。应告知家长儿童将小物体放入口中的风险，对龋损进行早期治疗至关重要。
