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Unintentionally Retained Elevator Blade Left for 8 Years Causes Mild Chronic Pain.
Ian Raby1,2, Gastón Salas2, Carlos Arroyo2,3
1Raby Orthodontic Office.
The Journal of Craniofacial Surgery
|November 6, 2024
Summary
A broken dental elevator blade, retained for 8 years, caused chronic pain until surgical removal. This case highlights the importance of high-quality instruments and pre/post-operative checks to prevent retained surgical fragments.
Area of Science:
- Dentistry
- Oral Surgery
- Radiology
Background:
- Fracture of surgical instruments during dental procedures is an uncommon but serious complication.
- Retained foreign bodies can lead to chronic pain, infection, and other adverse outcomes.
Purpose of the Study:
- To report an unusual case of a retained dental elevator blade fragment.
- To emphasize the diagnostic and management strategies for such incidents.
Main Methods:
- A case study of a patient with a retained elevator blade fragment.
- Diagnostic imaging including panoramic radiography and cone-beam computed tomography (CBCT).
- Surgical retrieval of the foreign body.
Main Results:
- A broken elevator blade was retained in the alveolar bone for 8 years.
- The fragment caused mild chronic pain, which resolved post-operatively.
- CBCT accurately localized the fragment for surgical removal.
Conclusions:
- Prompt identification and retrieval of surgical instrument fragments are crucial.
- High-quality instruments and meticulous pre- and post-operative checks can minimize risks.
- Delayed diagnosis of retained foreign bodies can lead to prolonged symptoms.
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