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Fractured needle as an unusual complication of the lingual nerve block: a case report  

Erdil, Aras (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Usak University)
Demirsoy, Mustafa Sami (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Sakarya University)
Colak, Sefa (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokat Gaziosmanpasa University)
Publication Information
Journal of Dental Anesthesia and Pain Medicine / v.22, no.4, 2022 , pp. 315-321 More about this Journal
Although rare, hypodermic needle fractures can occur in the maxillofacial region. In cases of fracture, urgent intervention is required to prevent further complications. We present the case of a 37-year-old female patient with a fractured needle in the left sublingual fossa during a lingual nerve block 6 months before referral. The fragment of a 30-gauge needle was located using cone-beam computed tomography and retrieved under local anesthesia with blunt dissection. The patient recovered uneventfully, except for predictable postoperative inflammatory complications, which resolved within 2 weeks. Precautions should be implemented to prevent needle fractures, which are usually preventable. However, if the retrieval is unsuccessful, the patient should be referred to a well-equipped surgical unit without delay.
Complications; Dental Anesthesia; Foreign Body Removal; Local Anesthesia; Needle Fracture;
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