medigraphic.com
ISSN 0001-0944 (Print)
Órgano Oficial de la Asociación Dental Mexicana

2015, Number 5

<< Back Next >>

Rev ADM 2015; 72 (5)

Surgical retrieval technique for a fractured local anesthetic infiltration needle embedded in the pterygomandibular space. Case report and review of the literature

Takahashi ACT, Zarazúa GCA

Language: Spanish
References: 21
Page: 259-264
PDF size: 805.79 Kb.


ABSTRACT

The metallic objects used in the different disciplines of today’s dentistry are subject to considerable wear during the course of their useful life and can eventually fracture. Removing these foreign objects can be a simple procedure, provided they remain visible and easy to reach. However, this is not always the case. Since the introduction of disposable dental needles in the 1960s, the incidence of instrument fracture has been minimal and today, when this does occur, it is usually due to poor infiltration techniques on the part of the user and a lack of appropriate preventive measures. We present the interesting case of a 25-year-old female patient who underwent a dental procedure during which a complete dental needle became lodged in the pterygomandibular space. In cases such as this, it is important to remember the specific symptoms, the differences in old- and new-school diagnosis methods, and the level of difficulty involved in surgically removing dangerous foreign objects from an anatomically complex location.


REFERENCES

  1. Fraser-Moodie W. Recovery of broken needles. Br Dent J. 1958; 105: 79-85.

  2. Cobo-Vázquez CM. Rotura de agujas en la clínica odontológica : causas y recomendaciones de actuación. En: Malamed SF et al. Manual de anestesia local. Elsevier Masson. 2006; 283-288 8, 41-49.

  3. Matheu E. Cuál es el calibre y tamaño de aguja recomendado para anestesia local en la práctica odontológica. Guatemala, Guatemala: Universidad Francisco Marroquín; 2003: p. 8-15.

  4. Ethunandan M, Tran AL, Anand R, Bowden J, Seal MT, Brennan PA. Needle breakage following inferior alveolar nerve block: implications and management. Br Dent J. 2007; 202: 395-397.

  5. Trombelli L, Nonato M, Ferrari-Carpino C, Orsini L, Saletti C. Needles in dental practice. Clinical evaluation and experiments on deformation and siliconization. G Anest Stomatol. 1990; 19: 7-14.

  6. Haas DA. An update on local anesthetics in dentistry. J Can Dent Assoc. 2002; 68 (9): 546-551.

  7. Malamed SF, Reed K, Poorsattar S. Needle breakage: incidence and prevention. Dent Clin North Am. 2010; 54 (4): 745-756.

  8. Blum T. A report of 100 cases of hypodermic needles broken during administration of oral local anaesthesia. Dent Cosmos. 1928; 70: 865-874.

  9. Rahman N, Clarke M, Stassen LF. Case report: management of broken dental needles in practice. J Ir Dent Assoc. 2013; 59: 241-245.

  10. Responses AS. (n.d.) CNA Health Pro. Don’t be numb to local anesthesia risks. Chicago, IL: CAN HealthPro; 2005: p. 1-6.

  11. Dojcinovic I, Hugentobler M, Richter M. Needle breakage: a rare and potentially dangerous complication during local anaesthesia. Rev Stomatol Chir Maxillofac. 2007; 108 (3): 222-224.

  12. Fuller NP, Menke RA, Meyers WJ. Perception of pain to three different intraoral penetrations of needles. J Am Dent Assoc. 1979; 99 (5): 822-824.

  13. Marks RB, Carlton DM, McDonald S. Management of a broken needle in the pterygomandibular space: report of a case. J Am Dent Assoc. 1984; 109: 263-264.

  14. Faura-Sole M, Sanchez-Garces MA, Berini-Aytes L, Gay-Escoda C. Broken anesthetic injection needles: report of 5 cases. Quintessence-Int. 1999; 30 (7): 461-465.

  15. Moore UJ, Fanibundan K, Gross MJ. The use of a metal detector for localization of a metallic foreign body in the floor of the mouth. Br J Oral Maxillofac Surg. 1993; 31: 191-192.

  16. Zeltser R, Cohen C, Casap N. The implications of a broken needle in the pterygomandibular space: clinical guidelines for prevention and retrieval. Pediatr Dent. 2002; 24 (2): 153-156.

  17. Thompson M, Wright S, Cheng LH, Starr D. Locating broken dental needles. Int J Oral Maxillofac Surg. 2003; 32: 642-644.

  18. Brown I, Meerkotter V. An unusual experience with a broken needle. J Dent Assoc S Afr. 1963; 18: 74.

  19. Robinson P, Pitt-Ford T. Local anaesthesia in dentistry. Oxford: Fraser McDonald; 2000.

  20. Monheiem LM. Monheim’s local anesthesia and pain control in dental practice. 7th ed. St Louis: Mosby; 1984. pp. 242-243.

  21. ANSI/ADA specification no. 54 for double-pointed parenteral, single use needles for dentistry. Council on Dental Materials, Instruments and Equipment. J Am Dent Assoc. 1986; 113: 952.




2020     |     www.medigraphic.com