CASE PRESENTATION:FRACTURED NEEDLE IN THE PTERYGOMANDIBULAR SPACE AFTER AN INFERIOR ALVEOLAR NERVE BLOCK
Needle fracture during inferior alveolar nerve block is a very rare accident that can occur in the dental private practice. The incidence is reported to represent approximately 0,000007%. A fractured needle in the pterygomandibular area is considered an emergency so it is important to withdraw it. A...
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| Format: | Article |
| Language: | English |
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Romanian Society of Oral Rehabilitation
2024-12-01
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| Series: | Romanian Journal of Oral Rehabilitation |
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| Online Access: | https://rjor.ro/case-presentationfractured-needle-in-the-pterygomandibular-space-after-an-inferior-alveolar-nerve-block/ |
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| author | Precup Alexandru Iosif Precup Andrada Băciuț Mihaela Felicia Mădălina Anca Moldovan Iurcov Raluca Ortensia Bumbu Bogdan Andrei |
| author_facet | Precup Alexandru Iosif Precup Andrada Băciuț Mihaela Felicia Mădălina Anca Moldovan Iurcov Raluca Ortensia Bumbu Bogdan Andrei |
| author_sort | Precup Alexandru Iosif |
| collection | DOAJ |
| description | Needle fracture during inferior alveolar nerve block is a very rare accident that can occur in the dental private practice. The incidence is reported to represent approximately 0,000007%. A fractured needle in the pterygomandibular area is considered an emergency so it is important to withdraw it. Although images like panoramic radiography (2D) and computed tomography (3D), are useful in the localization of the foreign body the removal can be very difficult. In this article we present the case of a 32 year old male patient, who experienced an inferior alveolar nerve block for the endodontic treatment of the tooth 47 at a private dental office. During the nerve block on the right side, a 30 G disposable needle tore and shifted posteriorly in the pterygomandibular space. We managed a successful outcome, in general anaesthesia with oro tracheal intubation. The needle removal was possible with the aid of the department of interventional radiology which provided imagistic support with guided fluoroscopy. |
| format | Article |
| id | doaj-art-32d2e18bb6414780aba8a1ec61717b76 |
| institution | Kabale University |
| issn | 2066-7000 2601-4661 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Romanian Society of Oral Rehabilitation |
| record_format | Article |
| series | Romanian Journal of Oral Rehabilitation |
| spelling | doaj-art-32d2e18bb6414780aba8a1ec61717b762025-01-21T13:35:35ZengRomanian Society of Oral RehabilitationRomanian Journal of Oral Rehabilitation2066-70002601-46612024-12-0116424625110.62610/RJOR.2024.4.16.24CASE PRESENTATION:FRACTURED NEEDLE IN THE PTERYGOMANDIBULAR SPACE AFTER AN INFERIOR ALVEOLAR NERVE BLOCKPrecup Alexandru IosifPrecup AndradaBăciuț Mihaela FeliciaMădălina Anca MoldovanIurcov Raluca OrtensiaBumbu Bogdan AndreiNeedle fracture during inferior alveolar nerve block is a very rare accident that can occur in the dental private practice. The incidence is reported to represent approximately 0,000007%. A fractured needle in the pterygomandibular area is considered an emergency so it is important to withdraw it. Although images like panoramic radiography (2D) and computed tomography (3D), are useful in the localization of the foreign body the removal can be very difficult. In this article we present the case of a 32 year old male patient, who experienced an inferior alveolar nerve block for the endodontic treatment of the tooth 47 at a private dental office. During the nerve block on the right side, a 30 G disposable needle tore and shifted posteriorly in the pterygomandibular space. We managed a successful outcome, in general anaesthesia with oro tracheal intubation. The needle removal was possible with the aid of the department of interventional radiology which provided imagistic support with guided fluoroscopy.https://rjor.ro/case-presentationfractured-needle-in-the-pterygomandibular-space-after-an-inferior-alveolar-nerve-block/needle fractureinferior alveolar nerve blockguided fluoroscopy |
| spellingShingle | Precup Alexandru Iosif Precup Andrada Băciuț Mihaela Felicia Mădălina Anca Moldovan Iurcov Raluca Ortensia Bumbu Bogdan Andrei CASE PRESENTATION:FRACTURED NEEDLE IN THE PTERYGOMANDIBULAR SPACE AFTER AN INFERIOR ALVEOLAR NERVE BLOCK Romanian Journal of Oral Rehabilitation needle fracture inferior alveolar nerve block guided fluoroscopy |
| title | CASE PRESENTATION:FRACTURED NEEDLE IN THE PTERYGOMANDIBULAR SPACE AFTER AN INFERIOR ALVEOLAR NERVE BLOCK |
| title_full | CASE PRESENTATION:FRACTURED NEEDLE IN THE PTERYGOMANDIBULAR SPACE AFTER AN INFERIOR ALVEOLAR NERVE BLOCK |
| title_fullStr | CASE PRESENTATION:FRACTURED NEEDLE IN THE PTERYGOMANDIBULAR SPACE AFTER AN INFERIOR ALVEOLAR NERVE BLOCK |
| title_full_unstemmed | CASE PRESENTATION:FRACTURED NEEDLE IN THE PTERYGOMANDIBULAR SPACE AFTER AN INFERIOR ALVEOLAR NERVE BLOCK |
| title_short | CASE PRESENTATION:FRACTURED NEEDLE IN THE PTERYGOMANDIBULAR SPACE AFTER AN INFERIOR ALVEOLAR NERVE BLOCK |
| title_sort | case presentation fractured needle in the pterygomandibular space after an inferior alveolar nerve block |
| topic | needle fracture inferior alveolar nerve block guided fluoroscopy |
| url | https://rjor.ro/case-presentationfractured-needle-in-the-pterygomandibular-space-after-an-inferior-alveolar-nerve-block/ |
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