Finding a foreign body in the pulp chambers or root canal of a grossly carious tooth is uncommon and are diagnosed accidently during routine examination or when patient comes with any problem. It is quite challenging for the dentist to remove such foreign objects and treat the tooth successfully. Poking a tooth with foreign bodies can lead to accidental breakage of material within the tooth as we have seen in this case. Breakage of foreign material can also obstruct the path of endodontic instruments and can lead to compromised treatment conditions. Management of these kind of cases with foreign objects can be either to remove the foreign object from the tooth without compromising the tooth structure excessively or to bypass the obstruction and incorporate the foreign body within the obturating material. The following case report describes the non surgical endodontic management of foreign body impacted in a large carious tooth with a chronic apical periodontitis.
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