Abstract
Aspiration of tooth by conscious patient is not a common occurrence in exodontia. Most cases of aspiration are secondary to maxillofacial trauma and during intubation for general anesthesia. There are isolated case reports of aspiration oftooth during extraction in pediatric age group. Here we present a case report of aspiration of tooth by a conscious tracheotomised adult patient and the difficulties encountered in retrieving the tooth along with the review of literature. Aspiration in this case can be attributed to the diminished gag and cough reflexes caused by the tracheotomy of the patient. A step by step protocol has been devised to manage such situations.
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