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Predicting Catalyst Extrudate Breakage Based on the Modulus of Rupture
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[Needle breakage during local anaesthesia].

S A Zijderveld, L Dubois

    Nederlands Tijdschrift Voor Tandheelkunde
    |November 21, 2018
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    Summary
    This summary is machine-generated.

    Needle breakage during local anesthesia occurred in two patients, one adult and one child. Surgical removal was required in the pediatric case, highlighting potential complications of dental anesthesia procedures.

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    Area of Science:

    • Dentistry
    • Oral and Maxillofacial Surgery
    • Anesthesiology

    Background:

    • Needle breakage during local anesthesia administration is a rare but significant complication.
    • Prompt and appropriate management is crucial to prevent patient harm and ensure successful retrieval.

    Observation:

    • Two cases of needle breakage during dental procedures were reported.
    • The first involved a 67-year-old woman experiencing mandibular block anesthesia failure.
    • The second involved an 8-year-old child during maxillary infiltration anesthesia using a QuickSleeper 5 device.

    Findings:

    • In the first case, the broken needle was easily removed under local anesthesia.
    • In the second case, the 9 mm needle required localization via cone beam computed tomography (CBCT) and removal under general anesthesia due to patient factors and location.
    • CBCT is a valuable tool for precise localization of foreign bodies in the maxillofacial region.

    Implications:

    • This case series underscores the importance of careful technique and patient management during local anesthesia.
    • It highlights the potential need for advanced imaging and anesthesia techniques in challenging pediatric cases.
    • Awareness of such complications can aid clinicians in prevention and management strategies.