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Radiographic and computed tomography monitoring of a fractured needle fragment in the mandibular branch

Imaging Science in Dentistry 2017³â 47±Ç 1È£ p.63 ~ 68
Villalobos Maria Isabel de Oliveira e Britto, Leite Thaisa Cristina Gomes Ferreira, Barra Samila Goncalves, Werneche Daniela Teresa Pinto da Cunha, Manzi Flavio Ricardo, Cardoso Claudia Assuncao e Alves,
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 ( Villalobos Maria Isabel de Oliveira e Britto ) - Pontificial Catholic University of Minas Gerais Department of Dentistry
 ( Leite Thaisa Cristina Gomes Ferreira ) - Pontificial Catholic University of Minas Gerais Department of Dentistry
 ( Barra Samila Goncalves ) - Pontificial Catholic University of Minas Gerais Department of Dentistry
 ( Werneche Daniela Teresa Pinto da Cunha ) - Pontificial Catholic University of Minas Gerais Department of Dentistry
 ( Manzi Flavio Ricardo ) - Pontificial Catholic University of Minas Gerais Department of Dentistry
 ( Cardoso Claudia Assuncao e Alves ) - Pontificial Catholic University of Minas Gerais Department of Dentistry

Abstract


Some complications can arise with the usage of local anesthesia for dental procedures, including the fracture of needles in the patient. This is a rare incident, usually caused by the patient¡¯s sudden movements during anesthetic block. Its complications are not common, but can include pain, trismus, inflammation in the region, difficulty in swallowing, and migration of the object, which is the least common but has the ability to cause more serious damage to the patient. This report describes a case in which, after the fracture of the anesthetic needle used during alveolar nerve block for exodontia of the left mandibular third molar, the fragment moved significantly in the first 2 months, before stabilizing after the third month of radiographic monitoring.

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Anesthesia; Dental; Surgery; Oral; Needles; Radiology

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