Accidental Aspiration of an Implant Driver Into the Right Bronchus During Implant Surgery.

Accidental aspiration of dental instruments during implant surgery is a rare yet serious complication that demands immediate attention. This report presents a case involving a 67-year-old male who accidentally aspirated an implant driver during the placement of mandibular implants. Despite the absence of immediate symptoms such as coughing, choking, or wheezing, radiographic evaluation was crucial in identifying the foreign object. Thoracic and spinal X-rays, followed by computed tomography scans, confirmed its location in the right main bronchus. A thoracic surgeon successfully removed the implant driver using a rigid fiber-optic bronchoscope under general anesthesia. Postoperative care included monitoring in the intensive care unit with nebulization, antibiotics, and corticosteroids to prevent complications. This case highlights the importance of rapid diagnosis and intervention in such emergencies while emphasizing the need for preventive measures to mitigate aspiration risks during dental procedures.