A 71-year-old asymptomatic man with cerebral infarction and dementia was brought to our emergency department for ingesting a removable partial denture, as seen incidentally on his follow-up chest x-ray for his aspiration pneumnia provisionally diagnosed three days prior (Figure 1). He could not recall ingesting the denture. We had not auscultated any abnormal respiratory sounds including stridor, wheezing, or crackles. The plain cervical computed tomography showed that the denture was in the hypopharynx (Figure 2,3); a laryngeal endoscopy identified the denture in the upper esophagus, with its metallic clasp entrapped by the postcricoid region. For airway maintenance, tracheostomy was performed, followed by the transoral retrieval of the denture, with the clasp detached from the cervical esophagus, using laryngoscope-guided forceps under local anesthesia. Pressure ulcers were noted but healed spontaneously according to the follow-up laryngeal endoscopy. He was discharged on day 16.