Needle fractures during mandibular block: prevention and emergency care algorithm

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Kuzin A.V.

State Budgetary Educational Institution of Higher Professional Education «Russian Medical Academy of Post-Graduate Education»

Gurin A.N.

Tsentral'nyĭ nauchno-issledovatel'skiĭ institut stomatologii i cheliustno-litsevoĭ khirurgii;
Pervyĭ MGMU im. I.M. Sechenova

Shcherbakov A.M.

Nauchno-issledovatel'skiĭ institut onkologii im. N.N. Petrova Minzdrava RF, Sankt-Peterburg

Needle fractures during mandibular block: prevention and emergency care algorithm

Authors:

Kuzin A.V., Gurin A.N., Shcherbakov A.M.

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Journal: Stomatology. 2018;97(3): 56‑59

DOI: 10.17116/stomat201897356

Views: 6479

Downloaded: 69

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To cite this article:

Kuzin AV, Gurin AN, Shcherbakov AM. Needle fractures during mandibular block: prevention and emergency care algorithm. Stomatology. 2018;97(3):56‑59. (In Russ.)
https://doi.org/10.17116/stomat201897356

Подписка 2025-2 (Stomatology)

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Cases of dental needle fracture during mandibular block were studied in the last 10 years. Despite dental anesthesia development, the cases of needle fracture occur regularly in the world practice. Some of these complications has iatrogenic nature while others may be attributed to independent reasons like patients’ sharp movement and needle manufacturing defect. In most of the cases the needle migrates to surrounding anatomical spaces making operative removing a challenging task. Subsequent surgical removing of a foreign body has severe consequences to patient in the form of a large operating injury, long-term disability and functional limitations. The article presents an algorithm for prevention and emergency care for a patient with dental needle fracture during mandibular block.

Keywords:

articaine

complications of local anesthesia

infiltration anesthesia

mandibular block

dental needle fracture

Authors:

Kuzin A.V.

State Budgetary Educational Institution of Higher Professional Education «Russian Medical Academy of Post-Graduate Education»

Gurin A.N.

Tsentral'nyĭ nauchno-issledovatel'skiĭ institut stomatologii i cheliustno-litsevoĭ khirurgii;
Pervyĭ MGMU im. I.M. Sechenova

Shcherbakov A.M.

Nauchno-issledovatel'skiĭ institut onkologii im. N.N. Petrova Minzdrava RF, Sankt-Peterburg

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