During dental treatment, patients can swallow or inhale a foreign object as a result of several patient- and clinician-related factors; however, several methods can be used to prevent this complication. A 65-year-old man was referred to the Oral Implantology Clinic at the University of Amsterdam (ACTA) for a fixed prosthesis in the maxilla. While placing the implants, the screwdriver accidentally slipped from the fingers of the surgeon and was ingested by the patient. Since the difference between swallowing and inhaling cannot be accurately diagnosed, patient followup is advisable.