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Transcervical migration of a broken dental needle: a case report and literature review
Mehmet Ali Altay1, Diana Jee-Hyun Lyu2, David Collette3
1Doctor of Oral and Maxillofacial Surgery, Akdeniz University, Faculty of Dentistry, Antalya, Turkey; Research Fellow, Department of Oral and Maxillofacial Surgery, Case Western Reserve University School of Dental Medicine, Cleveland, OH, USA.
Abstract:
Although needle breakage is a rare event in dentistry, the occurrence can cause significant distress to the patient and the clinician. Taking appropriate measures to prevent this mishap is best. However, when this event occurs, appropriate planning and retrieval of the needle can lessen the detrimental effects. In this report, we document the migration and retrieval of a broken dental needle that traveled from the medial ramus of the mandible to the posterior cervical space. This report emphasizes the importance of proper local anesthesia techniques, as well as preventive measures, localization methods, and the principles of surgical approaches for the removal of broken needles.