Image intensifier aid in removing short gingival needle
DOI:
https://doi.org/10.33448/rsd-v10i1.11889Keywords:
Strange body; Needle; Traumatology.Abstract
Background: Even though complications involving dental needles are currently rare, accidents are likely to occur, mainly in lower alveolar nerve block due to numerous factors inherent to the operator and / or the material itself. The management of these patients aims to remove the needle immediately, if the tip is visible, or to apply methods to locate the needle in the pterygomandibular space. These methods range from simple radiographs to the use of modern scanners, always aiming at patient comfort and quick resolution of the condition. Objective and case report: The objective of this article is to report a clinical case of the use of the image intensifier to remove a fractured needle after anesthesia of the lower alveolar nerve, during an extraction procedure. Male patient, 28 years old, referred to the emergency department, without pain complaints. Surgical removal with the aid of the image intensifier of the fractured gingival needle lodged in the left mandibular ascending branch, was performed under general anesthesia, by means of an access in the region of the jugal mucosa. Conclusion: To prevent fractures of gingival needles in dental procedures, it is necessary to perform the correct anesthetic technique, avoiding needle bends. In the case of needle fractures, we can conclude that additional methods, such as the use of the image intensifier, help the removal causing less tissue damage, consequently less patient morbidity.
References
Augello, M., von Jackowski, J., Grätz, K. W., & Jacobsen, C. (2011). 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(1), 3-8. https://doi.org/10.1007/s00784-010-0442-6
Canevaro, L. (2009). Aspectos físicos e técnicos da radiologia intervencionista. Revista Brasileira de Física Médica, 3(1), 101-115.
da Silva, W. P. P., Mendes, B. C., de Jesus, K. G., Rios, B. R., Garbin, C. A. S., Junior, I. R. G., Souza, F. Á., & Faverani, L. P. (2020). Facial trauma due to suicide attempt and its implications in a patient with psychological disorder: Brief Report. Research, Society and Development, 9(11), e44391110084-e44391110084.
de Queiroz, S. B. F., Moreira Jr, R., Farina, C. G., Moreira, R., da Silva, A. K. A., & Coppedê, A. R. Uso Da Fluoroscopia Intraoperatória Para Guiar A Colocação De Implantes Zigomáticos.
Ethunandan, M., Tran, A. L., Anand, R., Bowden, J., Seal, M. T., & Brennan, P. A. (2007). Needle breakage following inferior alveolar nerve block: implications and management. Br Dent J, 202(7), 395-397. https://doi.org/10.1038/bdj.2007.272
Faulkner, K., & Marshall, N. W. (1993). The relationship of effective dose to personnel and monitor reading for simulated fluoroscopic irradiation conditions. Health Phys, 64(5), 502-508. https://doi.org/10.1097/00004032-199305000-00007
Ferreira, P., Ferreira, S., Fabris, A., Nogueira, L., Souza, F., & Garcia Júnior, I. (2016). Remoção de agulha odontológica com intensificador de imagem. Journal of the Brazilian College of Oral and Maxillofacial Surgery, 2(1), 50-54. https://doi.org/10.14436/2358-2782.2.1.050-054.cre
Gerbino, G., Zavattero, E., Berrone, M., & Berrone, S. (2013). Management of needle breakage using intraoperative navigation following inferior alveolar nerve block. Journal of Oral and Maxillofacial Surgery, 71(11), 1819-1824.
Glassman, P., Caputo, A., Dougherty, N., Lyons, R., Messieha, Z., Miller, C., Peltier, B., & Romer, M. (2009). Special Care Dentistry Association consensus statement on sedation, anesthesia, and alternative techniques for people with special needs. Special Care in Dentistry, 29(1), 2-8. https://doi.org/10.1111/j.1754-4505.2008.00055.x
Marks, R. B., Carlton, D. M., & McDonald, S. (1984). Management of a broken needle in the pterygomandibular space: report of case. J Am Dent Assoc, 109(2), 263-264. https://doi.org/10.14219/jada.archive.1984.0355
Mulinari-Santos, G., Bonardi, J. P., Fabris, A. L. d. S., Puttini, I. d. O., Coléte, J. Z., Duailibe-de-Deus, C. B., Faverani, L. P., Garcia Júnior, I. R., & Souza, F. Á. (2018). Use of an image intensifier for the localization and removal of a foreign body in the lower lip. Archives of Health Investigation, 7(6). https://doi.org/10.21270/archi.v7i6.3008
Nezafati, S., & Shahi, S. (2008). Removal of broken dental needle using mobile digital C-arm. J Oral Sci, 50(3), 351-353. https://doi.org/10.2334/josnusd.50.351
Ng, S. Y., Songra, A. K., & Bradley, P. F. (2003). A new approach using intraoperative ultrasound imaging for the localization and removal of multiple foreign bodies in the neck. Int J Oral Maxillofac Surg, 32(4), 433-436. https://doi.org/10.1054/ijom.2002.0376
Pogrel, M. A. (2009). Broken local anesthetic needles: a case series of 16 patients, with recommendations. J Am Dent Assoc, 140(12), 1517-1522. https://doi.org/10.14219/jada.archive.2009.0103
Rajkumar, B., Boruah, L. C., Thind, A., Jain, G., & Gupta, S. (2014). Dental Implant Placement using C-arm CT Real Time Imaging System: A Case Report. The Journal of Indian Prosthodontic Society, 14(1), 308-312.
Ribeiro, L., Ramalho, S., Gerós, S., Ferreira, E. C., e Almeida, A. F., & Condé, A. (2014). Needle in the external auditory canal: an unusual complication of inferior alveolar nerve block. Oral surgery, oral medicine, oral pathology and oral radiology, 117(6), e436-e437.
Sri-Pathmanathan, R. (1990). The mobile X-ray image intensifier unit in maxillofacial surgery. British Journal of Oral and Maxillofacial Surgery, 28(3), 203-206. https://doi.org/10.1016/0266-4356(90)90090-8
Thompson, M., Wright, S., Cheng, L. H., & Starr, D. (2003). Locating broken dental needles. Int J Oral Maxillofac Surg, 32(6), 642-644. https://doi.org/10.1054/ijom.2003.0430
Zeltser, R., Cohen, C., & Casap, N. (2002). The implications of a broken needle in the pterygomandibular space: clinical guidelines for prevention and retrieval. Pediatric dentistry, 24(2), 153-156.
Zhao, J., Chen, Y., Zeng, Q., He, X., Lu, W., Mei, Q., & Li, Y. (2009). Removal of metallic foreign body in the soft tissue under fluoroscopy: 10 years of experiences. Nan fang yi ke da xue xue bao= Journal of Southern Medical University, 29(12), 2504-2505, 2509.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Natália dos Santos Sanches; Mirela Caroline Silva; William Phillip Pereira da Silva; Lara Cristina Cunha Cervantes; Tiburtino José de Lima Neto; Francisley Avila Souza; Idelmo Rangel Garcia Júnior; Leonardo Perez Faverani
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
