Lead doesn't form oxides easily, and therefore the primary way you could form significant amounts of lead dust is if you subjected it to mechanical abrasion under conditions where the metal is likely to undergo brittle fracture - not easy, given that its ductile properties are well known.
I.e., forming lead dust from pure lead is not easy to do.
As has been remarked, lead is used frequently in, e.g., fishing sinkers. It's fairly inert and dangerous mostly in the form of inorganic compounds (dust), dissolved ions, and gas state (e.g., from smelting).
Note, this is my own personal opinion and is not professional medical advice.