Removal of a broken needle using three-dimensional computed tomography: a case report
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±èÁøÇÏ ( Kim Jin-Ha ) - The Third Logistic Support Command Dental Clinic
¹®¼º¿ë ( Moon Seong-Yong ) - Chosun University School of Dentistry Department of Oral and Maxillofacial Surgery
KMID : 0355620130390050251
Abstract
Inferior alveolar nerve block obtained maximum anesthetic effect using a small dose of local anesthetic agent, which also has low a complication incidence. Complications of an inferior alveolar nerve block include direct nerve damage, bleeding, trismus, temporary facial nerve palsy, and etc. Among them, the major iatrogenic complication is dental needle fracture. A fragment that disappears into the soft tissue would be hard to remove, giving rise to a legal problem. A 31-year-old woman was referred for the removal of a broken needle, following an inferior alveolar nerve block. Management involved the removal of the needle under local anesthesia with pre- and peri-operative computed tomography scans.
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Broken dental needle; Inferior alveolar nerve block; Cone-beam computed tomography; Foreign body migration
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