Background: Tracheobronchial aspiration is uncommon in adults. The non-asphyxiating nature of such lesions usually leads to chronicity and an obscure clinical presentation that is often confused with chronic respiratory disorders such as asthma, recurrent pneumonia. A high index of clinical suspicion is imperative in the diagnosis. Case Report: We present a case of an aspirated tooth that masqueraded as recurrent pneumonia for more than two years prior to its successful removal by fiberoptic bronchoscopy. Conclusion: Adult tracheobronchial aspirations can present with chronic respiratory symptoms, high index of suspicion is needed and prompt bronchoscopic removal is the treatment of choice.