INTRODUCTIONThe toothbrush is the most commonly used tool for maintaining oral hygiene across all age groups.1 While injuries involving toothbrushes are rare, they can occasionally lead to severe, life-threatening impalement injuries in children, particularly those under the age of six.1,2 While these injuries are typically treatable without permanent consequences, prolonged foreign body presence can result in various complications. Common complications include fibrosis, abscess formation, and sinus tracts. Rare but potentially serious complications may arise, such as deep neck abscess, mediastinal emphysema, pneumatocele, or internal carotid artery thrombosis.2,3,4 Managing these cases poses significant challenges for dentists, primarily due to complex facial anatomy, parental anxiety and the child’s uncooperative behavior.1 This case report describes the management of a four-year-old girl who sustained an accidental toothbrush impalement in the left buccal mucosa following a traumatic fall.
