New Delhi: A routine dental procedure is rarely expected to lead to an emergency lung condition, yet unusual complications can arise when foreign objects enter the airway. One such rare but serious case is nail aspiration — when a small dental instrument or nail-like object accidentally slips into the patient’s airway during a dental treatment. This can result in significant respiratory distress if not diagnosed and managed promptly by an expert.
Dr. Manu Madan, a leading Pulmonologist in Saket, Delhi, recently treated a patient who faced exactly this challenge. With extensive experience in interventional pulmonology and advanced airway procedures, Dr. Madan highlights why such complications need immediate and precise care. “Foreign body aspiration is more common in children but when it happens in adults — especially during dental work — it can be easily missed until it leads to serious infection or airway blockage,” he explains.
In this particular case, a middle-aged patient visited the dental clinic for a procedure. During the procedure, a small metallic nail was aspirated into the lung.
Foreign body aspiration can rapidly lead to pneumonia, lung collapse, or even life-threatening respiratory distress if the object blocks major air passages. Fortunately, the patient was referred to Dr. Manu Madan at Max Hospital Saket, where advanced diagnostic tools like bronchoscopy and endobronchial ultrasound (EBUS) are routinely used to manage such complex pulmonary crises. “Timely diagnosis and management are critical, since metallic objects can induce fibrosis and can get stuck,” Dr. Madan emphasizes. “A chest X-ray or CT scan can locate the object, but the real challenge is removing it safely without causing further lung damage.”
Dr. Madan performed a flexible bronchoscopy under local anesthesia — a minimally invasive but highly precise procedure that allows the pulmonologist to visualize the airways and extract foreign objects. Using specialized graspers and a bronchoscope equipped with high-definition imaging, the nail was successfully located and removed in one sitting. The patient experienced immediate relief and avoided complications such as pneumonia or lung abscess that can arise when foreign material remains lodged in the airway for extended periods.
What makes such cases so challenging is how easily they can be overlooked, especially when the aspiration event goes unnoticed or symptoms mimic other common respiratory infections. “People often dismiss persistent cough or breathlessness after dental or ENT procedures,” Dr. Madan says. “But any sudden onset of symptoms like wheezing, severe coughing, or noisy breathing should be evaluated immediately — especially if a foreign object could be involved.”
Dr. Manu Madan’s expertise in interventional pulmonology, including advanced bronchoscopy and EBUS-guided procedures, enables him to handle such rare emergencies with accuracy and minimal discomfort for the patient. He regularly treats a wide spectrum of complex airway diseases, lung infections, and interstitial lung conditions using the latest minimally invasive tools, ensuring faster recovery and fewer complications.
This case also highlights the importance of close collaboration between dentists and pulmonologists. Dental professionals should always use protective barriers or rubber dams when working with small tools or nails inside the mouth to reduce the risk of accidental aspiration. For patients, being aware of the signs of foreign body aspiration can be lifesaving. If you ever experience unexplained coughing, shortness of breath, or chest discomfort following a dental or ENT procedure, consult a qualified pulmonologist immediately.
With air pollution, changing lifestyles, and new types of health challenges, more people today are experiencing complex lung and airway issues. Whether it’s an unexpected emergency like nail aspiration or a chronic lung condition such as asthma or COPD, expert guidance and timely intervention can make all the difference. Dr. Madan’s patient-first approach ensures each person receives a clear diagnosis, compassionate care, and access to advanced respiratory solutions.
“As a pulmonologist, my goal is always to identify the root cause quickly and provide the least invasive, most effective treatment possible,” Dr. Madan says. “When it comes to the lungs, every second counts.”
If you or a loved one are facing unexplained respiratory symptoms — whether after a dental procedure or otherwise — don’t ignore them. Advanced pulmonary care is just a consultation away.
- Book an Appointment
- Manu Madan, Consultant Pulmonologist, Max Super Speciality Hospital, Saket, Delhi
- +91 98102 41174
- madan100@gmail.com
About Dr. Manu Madan
Dr. Manu Madan is a trusted Pulmonologist in Saket, Delhi, specializing in interventional pulmonology, airway disease management, lung cancer diagnostics, and sleep disorders. With over a decade of experience, advanced training from premier institutions, and a patient-focused approach, he provides comprehensive care for all respiratory and lung conditions.
