Computer-Controlled Local Anesthesia Complication: Surgical Retrieval of a Broken Dental Needle in Noncooperative Autistic Paediatric Patient

The article describes an unusual case of retrieval of 8 mm fragment of a broken 30-gauge 21 mm dental needle in a 6 y.o. noncooperative autistic male patient. The needle of a computer-controlled local anesthesia device was broken during an attempt to administer local anesthetic, in order to perform...

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Main Authors: Damian Chybicki, Małgorzata Lipczyńska-Lewandowska, Gaja Torbicka, Anna Janas-Naze
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2020/6686736
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author Damian Chybicki
Małgorzata Lipczyńska-Lewandowska
Gaja Torbicka
Anna Janas-Naze
author_facet Damian Chybicki
Małgorzata Lipczyńska-Lewandowska
Gaja Torbicka
Anna Janas-Naze
author_sort Damian Chybicki
collection DOAJ
description The article describes an unusual case of retrieval of 8 mm fragment of a broken 30-gauge 21 mm dental needle in a 6 y.o. noncooperative autistic male patient. The needle of a computer-controlled local anesthesia device was broken during an attempt to administer local anesthetic, in order to perform conservative treatment of teeth 55 and 54 by a pedodontist. Despite the fact that the patient was under nitrous oxide sedation, an unexpected movement of the patient occurred and resulted in needle breakage. Due to the lack of patient cooperation, the surgical retrieval of a broken needle was performed under general anesthesia as part of one-day surgery procedures. The purpose of the article is to emphasize careful decision-making in proper choice of dental instruments during treatment of noncooperative paediatric patients even under sedation and to suggest dentists to carry out treatment of such patients under general anesthesia.
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publishDate 2020-01-01
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spelling doaj-art-e3dbcc3d47f14c2a8d8dc91c8d58b6062025-02-03T06:43:30ZengWileyCase Reports in Dentistry2090-64472090-64552020-01-01202010.1155/2020/66867366686736Computer-Controlled Local Anesthesia Complication: Surgical Retrieval of a Broken Dental Needle in Noncooperative Autistic Paediatric PatientDamian Chybicki0Małgorzata Lipczyńska-Lewandowska1Gaja Torbicka2Anna Janas-Naze3Department of Oral Surgery, Central Clinical Hospital, Medical University of Lodz, PolandDepartment of Oral Surgery, Central Clinical Hospital, Medical University of Lodz, PolandDepartment of Oral Surgery, Central Clinical Hospital, Medical University of Lodz, PolandDepartment of Oral Surgery, Central Clinical Hospital, Medical University of Lodz, PolandThe article describes an unusual case of retrieval of 8 mm fragment of a broken 30-gauge 21 mm dental needle in a 6 y.o. noncooperative autistic male patient. The needle of a computer-controlled local anesthesia device was broken during an attempt to administer local anesthetic, in order to perform conservative treatment of teeth 55 and 54 by a pedodontist. Despite the fact that the patient was under nitrous oxide sedation, an unexpected movement of the patient occurred and resulted in needle breakage. Due to the lack of patient cooperation, the surgical retrieval of a broken needle was performed under general anesthesia as part of one-day surgery procedures. The purpose of the article is to emphasize careful decision-making in proper choice of dental instruments during treatment of noncooperative paediatric patients even under sedation and to suggest dentists to carry out treatment of such patients under general anesthesia.http://dx.doi.org/10.1155/2020/6686736
spellingShingle Damian Chybicki
Małgorzata Lipczyńska-Lewandowska
Gaja Torbicka
Anna Janas-Naze
Computer-Controlled Local Anesthesia Complication: Surgical Retrieval of a Broken Dental Needle in Noncooperative Autistic Paediatric Patient
Case Reports in Dentistry
title Computer-Controlled Local Anesthesia Complication: Surgical Retrieval of a Broken Dental Needle in Noncooperative Autistic Paediatric Patient
title_full Computer-Controlled Local Anesthesia Complication: Surgical Retrieval of a Broken Dental Needle in Noncooperative Autistic Paediatric Patient
title_fullStr Computer-Controlled Local Anesthesia Complication: Surgical Retrieval of a Broken Dental Needle in Noncooperative Autistic Paediatric Patient
title_full_unstemmed Computer-Controlled Local Anesthesia Complication: Surgical Retrieval of a Broken Dental Needle in Noncooperative Autistic Paediatric Patient
title_short Computer-Controlled Local Anesthesia Complication: Surgical Retrieval of a Broken Dental Needle in Noncooperative Autistic Paediatric Patient
title_sort computer controlled local anesthesia complication surgical retrieval of a broken dental needle in noncooperative autistic paediatric patient
url http://dx.doi.org/10.1155/2020/6686736
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