193 - Unusual Foreign Body in a 1 Year Old Male

Abstract:

Introduction:
Foreign bodies in the oral cavity of pre-cooperative children can be challenging due to limited visibility and the challenge to get a thorough exam.  When a foreign body is seen, the treatment of choice is removal to avoid the risk of aspiration or the risk of a secondary infection.

Case Report:
A healthy 1 year old male presented with a chief complaint of "he has a bump on the gum."  The patient's extraoral exam was unremarkable.  The intraoral exam revealed a 5x5mm, yellow/white, elevated, hard but slightly fluctuant, non-pedunculated mass that presented on the right mandibular alveolar ridge.  Differential diagnoses included fibroma, gingival cyst, and eruption cyst.  Upon further examination, the mass was dislodged, and the foreign body was determined to be a "pop it toy fragment," that was suctioned onto the patient's alveolar ridge.  This report details the management of an atypical foreign body in the oral cavity.

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