One or more teeth may avulse as a result of orofacial trauma and be aspirated into the lungs. This underlies the need for a careful oral exam in all patients.

An incisor is the most often reported tooth. Other teeth may be dislodged as well as bridges.

A chest X-ray can locate the tooth.



(1) chronic cough

(2) dyspnea

(3) atelectasis

(4) pneumonia


The tooth after can be removed during bronchoscopy but sometimes a thoracic surgery is necessary.


Differential diagnosis:

(1) aspiration of anything in the mouth at the time of trauma (gum, candy, etc)

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