Hidden wooden stick causing canine space infection in attention deficit hyperactive child

The infraorbital swelling due to canine space infection is always reported. In this case report the 11 year child, etiology for canine space infection was unknown and the interesting part was the difficulty in finishing endodontic access due to missed foreign body at the root tip of 21 which was visible only after extraction of 21.The patient was suffering from attention deficit hyperactivity disorder and had not given any history of self inflicting injury to reduce pain. The extracted tooth had a wooden stick at the apex which was a very rare and shocking finding and the answer to the surgeon’s dilemma. This case report is one of its kind where hidden wooden stick has caused canine space infection.