Rohilla Smriti, Sikdar Dyuti, Kalra Shukdev, Verma Shweta
Department of Conservative Dentistry and Endodontics, Bhojia Dental College and Hospital, Baddi, Himachal Pradesh, India.
J Conserv Dent Endod. 2025 Sep;28(9):946-949. doi: 10.4103/JCDE.JCDE_380_25. Epub 2025 Sep 5.
Dental trauma in the young age group may lead to exposed pulp and root canal space, particularly in anterior teeth. Children often present with habits of pricking their teeth using pins, needles, nails or metal screws as a part of their growing phase to explore the surroundings around them using their tactile sensation or sometimes to remove the food particles lodged in between their teeth. However, these act as a foreign material and can get impacted accidentally in the root canal space because of the larger pulp chamber and root canal space, eventually becoming the potential source of infection, which often leads to pain or swelling or both with the due course of time. These foreign objects are generally discovered as a part of routine radiographic examination. This article presents two case reports illustrating the identification and nonsurgical removal of foreign body, followed by completion of endodontic therapy and esthetic rehabilitation postdental trauma with a combined follow-up of 47 months.
年轻人群中的牙外伤可能导致牙髓和根管腔暴露，尤其是在前牙。儿童在成长阶段常有使用大头针、针、指甲或金属螺丝刺戳牙齿的习惯，以此通过触觉探索周围环境，有时也是为了清除嵌塞在牙缝间的食物颗粒。然而，这些东西作为异物，由于牙髓腔和根管腔较大，可能意外进入根管腔，最终成为潜在的感染源，随着时间推移往往会导致疼痛或肿胀，或两者皆有。这些异物通常是在常规影像学检查中被发现的。本文呈现了两例病例报告，阐述了异物的识别与非手术取出，随后完成牙髓治疗以及牙外伤后的美学修复，综合随访时间为47个月。
