The operation space of oral diagnosis and treatment is limited, the time consumption is different, and the individual patients vary greatly; There are many kinds of instruments used, different shapes and generally small in size, and some instruments are sharp and sharp; Saliva, blood, and turbine water spray stay in the mouth, and some patients are very sensitive to this. Even with perfect preventive measures, the accidental swallowing and aspiration of foreign bodies in the process of oral diagnosis and treatment still occurs from time to time, which easily leads to disputes between doctors and patients. Therefore, it is necessary to study the occurrence probability, symptoms, treatment measures and prevention schemes of foreign body swallowing and aspiration during oral diagnosis and treatment. This article presents a case of aspiration during implant surgery.