Broken tooth: a biological foreign body—case report

Abstract

BackgroundBroken tooth fragments that get lodged post trauma in oral cavity lacerations should not go unnoticed during primary care of the patient. Tooth fragments can act as a biological foreign body. Unnoticed foreign bodies can give rise to granulomas, sepsis, and fistula formation.AimThis article stresses on the need for all primary contact medical staff and residents to pay additional attention on patients with a loose/broken tooth and a laceration. Early removal of tooth fragment is key to avoiding granuloma formation and thus the need to excise the surrounding tissue.Case presentationA 70-year-old female presented with a post traumatic upper lip swelling. A broken tooth fragment was studied on plain CT scan and removed under local anesthesia. A speedy restoration of normal anatomy was seen due to early diagnosis and removal.ConclusionsDental traumas, being the commonest maxillofacial injuries, have a significant impact on the physical, cosmetic, and emotional health of the patient. Careful assessment of a patient with history of trauma and a missing/broken tooth is mandatory.