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[Needle fractures during mandibular block: prevention and emergency care algorithm].

A V Kuzin1, A N Gurin2, A M Shcherbakov3

  • 1Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia.

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Summary

Dental needle fracture during mandibular blocks remains a risk despite advancements. This study reviews prevention and emergency management strategies for this dental anesthesia complication.

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articainecomplications of local anesthesiadental needle fractureinfiltration anesthesiamandibular block

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Area of Science:

  • Dentistry
  • Anesthesiology
  • Surgical Complications

Background:

  • Dental needle fracture during mandibular blocks is an infrequent but serious complication.
  • Causes include iatrogenic factors, patient movement, and manufacturing defects.
  • Fractured needles can migrate, complicating removal and leading to patient injury.

Purpose of the Study:

  • To analyze cases of dental needle fracture over the past decade.
  • To present an algorithm for preventing and managing needle fracture during mandibular blocks.

Main Methods:

  • Retrospective review of dental needle fracture cases over 10 years.
  • Development of a clinical algorithm for prevention and emergency care.

Main Results:

  • Needle migration into surrounding anatomical spaces is common.
  • Surgical removal can result in significant patient morbidity.
  • The proposed algorithm aims to mitigate these risks.

Conclusions:

  • Effective prevention and prompt emergency management are crucial.
  • Minimizing needle fracture complications improves patient outcomes in dental anesthesia.