Vol. 11, Issue 4, Part G (2025)

Self-inflicted oral habits in children and adolescents may occasionally result in the lodgement of foreign objects within teeth having pulpal exposure, often remaining asymptomatic and undetected for prolonged periods. Such cases are usually identified incidentally during routine clinical or radiographic examination. This report describes the incidental detection of an intracanal foreign body in a 15-year-old female patient who reported for orthodontic consultation with no pain or swelling. Clinical examination revealed discoloration of a fractured maxillary central incisor, and radiographic evaluation showed a radiopaque foreign object within the root canal associated with periapical pathology. A detailed history revealed self-insertion of the object following trauma. The foreign body was conservatively retrieved using coronal flaring, EDTA lubrication, and careful bypassing with hand files, followed by nonsurgical root canal therapy. The tooth remained asymptomatic and functional at follow-up. Early radiographic detection and conservative retrieval techniques are essential to prevent pulpal and periapical complications associated with asymptomatic intracanal foreign bodies.