Young children are more explorative with all the objects they encounter and they develop the habit of inserting them into their mouth. In some cases, the object can injure the child\'s oral cavity. And it could be associated with self-injurious behavior of the child. Hence, a proper diagnosis of it is important. There are several reports on various foreign objects embedded in the root canal, which acts as a constant source of pain and infection in the oral cavity. The case report describes a 14-year-old boy with a foreign object in his maxillary left first premolar and the conservative management of the same. The boy was diagnosed to have no such self-injurious/deliberate self-harm behavior from the detailed history taken. The paper reviews the various management strategies for the removal of foreign objects from the root canal.
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