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06.06.2022 | Original Article

Observational and descriptive analysis of broken dental needles: a case series

verfasst von: Lorena Batista Sandre, Elvidio de Paula e Silva, Antonio Eduardo Ribeiro Izidro, Waltencyr Mendes Pereira Neto, Cícero André da Costa Moraes, Everton Luis Santos da Rosa

Erschienen in: Oral and Maxillofacial Surgery | Ausgabe 3/2023

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Abstract

Purpose

To discuss potential causes of broken dental needles during dental anesthesia and features of this complication, including the anatomical location of fragments in tissues, symptoms, complications, and therapeutic approaches.

Methods

Twelve cases of broken dental needles occurring during dental anesthesia and subsequently referred to Hospital de Base do Distrito Federal, Brazil, between 1992 and 2019 were selected. In addition, similar cases reported in the literature over the past 50 years were reviewed.

Results

Needle fractures occur most frequently during inferior alveolar nerve blocks and in younger patients. The leading cause is unexpected patient movement during the anesthetic procedure. The needle fragment is most commonly found in the pterygomandibular space or the deep spaces of the head and neck region. Needle migration is a particular concern; although rare, it is unpredictable and potentially life-threatening.

Conclusions

Needle fracture is an intraoperative complication which has the potential to cause severe patient damage. It is essential that practitioners have knowledge of this possible complication and understand the technical considerations for its prevention. The existing literature and the results of this case series analysis suggest that removal of the fractured needle fragment should be attempted as soon as possible.

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Titel: Observational and descriptive analysis of broken dental needles: a case series
verfasst von: Lorena Batista Sandre
Elvidio de Paula e Silva
Antonio Eduardo Ribeiro Izidro
Waltencyr Mendes Pereira Neto
Cícero André da Costa Moraes
Everton Luis Santos da Rosa
Publikationsdatum: 06.06.2022
Verlag: Springer Berlin Heidelberg
Erschienen in: Oral and Maxillofacial Surgery / Ausgabe 3/2023
Print ISSN: 1865-1550
Elektronische ISSN: 1865-1569
DOI: https://doi.org/10.1007/s10006-022-01078-7

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Observational and descriptive analysis of broken dental needles: a case series