Fracture of a Dental Needle during Inferior Alveolar Nerve Block in a Young Child: A Case Report
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The fracture of a needle during local anesthesia in dental treatment is rare; however, when it occurs, the needle should be removed without damage to surrounding structures as soon as possible. A fractured needle fragment that is buried in soft tissue would be difficult to remove, and a careful surgical procedure under general anesthesia is recommended in such cases. Children who require dental treatment are often not capable of cooperative behavior, thus unexpected movements can increase the risk of needle fracture. Clinicians can reduce the incidence of needle fracture accidents with a few precautions. In the present case report, we report a case of needle fracture due to abrupt movement during inferior alveolar nerve block anesthesia in a young child, with the purpose of drawing attention to needle fracture incidents. This report describes the possible causes and prevention methods of local anesthetic needle fracture, and the localization methods and surgical procedure for needle fragment removal.
Abstract
The fracture of a needle during local anesthesia in dental treatment is rare; however, when it occurs, the needle should be removed without damage to surrounding structures as soon as possible. A fractured needle fragment that is buried in soft tissue would be difficult to remove, and a careful surgical procedure under general anesthesia is recommended in such cases. Children who require dental treatment are often not capable of cooperative behavior, thus unexpected movements can increase the risk of needle fracture. Clinicians can reduce the incidence of needle fracture accidents with a few precautions. In the present case report, we report a case of needle fracture due to abrupt movement during inferior alveolar nerve block anesthesia in a young child, with the purpose of drawing attention to needle fracture incidents. This report describes the possible causes and prevention methods of local anesthetic needle fracture, and the localization methods and surgical procedure for needle fragment removal.
참고문헌 (14)
- Augello M, "Needle breakage during local anesthesia in the oral cavity-a retrospective of the last 50 years with guidelines for treatment and prevention", Clin Oral Investig, 15, pp.3~8 (2011)
- Khalil H, "A basic review on the inferior alveolar nerve block techniques", Anesth Essays Res, 8, pp.3~8 (2014)
- Ethunandan M, "Needle breakage following inferior alveolar nerve block: implications and management", Br Dent J, 202, pp.395~397 (2007)
- Holmes PJ, "Intraoperative imaging techniques : a guide to retrieval of foreign bodies", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 100, pp.614~618 (2005)
- Thompson M, "Locating broken dental needles", Int J Oral Maxillofac Surg, 32, pp.642~644 (2003)
- Kronman JH, "Preferred needle lengths for inferior alveolar anesthesia", Gen Dent, 42, pp.74~76 (1994)
- Korean academy of Pediatric Dentistry, "Textbook of Pediatric Dentistry", pp.326~328 (2014), Yenang INC
- Malamed SF, "Handbook of Local Anesthesia", pp.275~277 (2004), Mosby
- Pogrel MA, "Broken local anesthetic needles: a case series of 16 patients, with recommendations", J Am Dent Assoc, 140, pp.1517~1522 (2009)
- BR Chrcanovic, "Complication of local dental anesthesia - a broken needle in the pterygomandibular space", Braz J Oral Sci, 8, pp.159~162 (2009)
- Ram D, "Administering local anaesthesia to paediatric dental patients -- current status and prospects for the future", Int J Paediatr Dent, 12, pp.80~89 (2002)
- Zeltser R, "The implications of a broken needle in the the bandit needle prior to injection should be avoided.pterygomandibular space:clinical guidelines for prevention and retrieval", Pediatr Dent, 24, pp.153~156 (2002)
- Shah A, "Fracture of a dental needle during administration of an inferior alveolar nerve block", Dent Update, 36, pp.20~22 (2009)
- Rao LP, "Modification of the dingman mouth gag for better visibility and access in the management of cleft palate", Cleft Palate Craniofac J, 52, pp.250~253 (2015)