Foreign body aspiration in the tracheobronchial tree is a common emergency with serious consequences. The 70-year-old man presented by cough with yellowish sputum, intermittent shortness of breath for two days. He had recurrent similar episodes within six months. Chest radiography showed emphysematous change of both lungs with patchy infiltrations over right lower lung. We arranged fibreoptic bronchoscopy which retrieved the tooth at right lower lobe bronchus orifice. The procedure was smooth and patient was discharged. It is necessary to consider the possibility of foreign body like tooth related aspiration pneumonia in anyone who presented with unresolving pneumonia or lung mass.