Abstract

İğne kırılması dental anestezi sırasında nadir görülen bir komplikasyondur. Daha çok Nervus alveolaris inferior blokajı sırasında oluşur, ancak maksiller enjeksiyonlar sırasında görülen az sayıda olgu bildirimleri de mevcuttur. İğne kırılması önlenebilir pek çok farklı nedenlerle oluşabilir. İleri radyolojik teknikler kırılan iğne parçasının yerinin kesin olarak belirlenmesinde faydalıdır. Kırılan parçanın yumuşak dokular içinde hareket etmesi nedeniyle cerrahi olarak çıkartılması önerilmektedir. Bu olguda maksiller dental anestezi sırasında kırılan iğne parçasının radyografik özellikleri ve cerrahi olarak çıkartılması sunulmuştur. Bunun yanı sıra, dental anestezi sırasında iğne kırılmasına yönelik literatür derlemesi amaçlanmaktadır

Keywords

• Kırık iğne, Dental anestezi, Tedavi, CBCT

NEEDLE BREAKAGE DURING DENTAL ANESTHESIA IN THE MAXILLA: REPORT OF A CASE AND LITERATURE REVIEW

Abstract

Needle breakage is an uncommon complication during dental anesthesia. It generally occurs in inferior alveolar nerve block; however rare cases during maxillary injections have also been reported. There are different causative factors for needle breakage most of which can be preventable. Advanced radiological techniques are helpful to detect the exact localization of the broken fragment. Surgical removal of the needle is recommended since the broken piece may move deeper through the tissues. Here we report a case of a broken needle during maxillary dental anesthesia as well as radiological features and surgical treatment. Furthermore, we aimed to review the current literature regarding needle breakage during dental anesthesia

Keywords

• Broken needle, Dental anesthesia, Treatment, CBCT

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