Limits...
Dental root elevator embedded into a subgingival caries: a case report.

Miranda-Rius J, Brunet-Llobet L, Lahor-Soler E, Mrina O, Ramírez-Rámiz A - BMC Res Notes (2015)

Bottom Line: The patient explained that six months previously his mandibular left third molar had been extracted.Whilst the healing process had been satisfactory, he had recently experienced acute oral pain in this region.A radiographic study should be carried out when instrument breakage occurs.

View Article: PubMed Central - PubMed

Affiliation: Departament d'Odontostomatologia, Facultat d'Odontologia, Universitat de Barcelona, Feixa Llarga s/n, 08907, L'Hospitalet de Llobregat, Barcelona, Spain. jmiranda-rius@ub.edu.

ABSTRACT

Background: Breakage of surgical instruments is a rare complication. A mistake in operator technique or sub-standard/aged tools could lead to this type of accident. A tooth elevator is an instrument used in minor oral surgical procedures to luxate the tooth or fractured root from its socket. The authors have not found any previously published cases reporting the breakage of a tooth elevator tip which then remained as a foreign body in a hidden caries cavity.

Case presentation: A 28-year-old African black male was referred to a hospital in Tanzania for an intraoral radiography. The patient explained that six months previously his mandibular left third molar had been extracted. Whilst the healing process had been satisfactory, he had recently experienced acute oral pain in this region. The dental X-ray showed an image consistent with a piece of broken metal embedded in a distal subgingival caries at the mandibular left second molar.

Conclusion: Oral and dental surgeons should take particular care when employing metal instruments with strong force in poorly visible areas. A radiographic study should be carried out when instrument breakage occurs. If an unexpected accident takes place during a surgical procedure, the patient must be informed in accordance with ethical codes, and suitable measures adopted to resolve the issue.

Show MeSH

Related in: MedlinePlus

Luxating dental elevators with curved bladed tips to facilitate root extraction.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
getmorefigures.php?uid=PMC4352293&req=5

Fig1: Luxating dental elevators with curved bladed tips to facilitate root extraction.

Mentions: A tooth elevator is an instrument used in minor oral surgical procedures to luxate the tooth or fractured root from its socket. There is a vast range of elevator designs, including right and left sides for several types (Figure 1). Alveolar bone fracture and fracture/luxation of the adjacent tooth are two common problems associated with their use.Figure 1


Dental root elevator embedded into a subgingival caries: a case report.

Miranda-Rius J, Brunet-Llobet L, Lahor-Soler E, Mrina O, Ramírez-Rámiz A - BMC Res Notes (2015)

Luxating dental elevators with curved bladed tips to facilitate root extraction.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4352293&req=5

Fig1: Luxating dental elevators with curved bladed tips to facilitate root extraction.
Mentions: A tooth elevator is an instrument used in minor oral surgical procedures to luxate the tooth or fractured root from its socket. There is a vast range of elevator designs, including right and left sides for several types (Figure 1). Alveolar bone fracture and fracture/luxation of the adjacent tooth are two common problems associated with their use.Figure 1

Bottom Line: The patient explained that six months previously his mandibular left third molar had been extracted.Whilst the healing process had been satisfactory, he had recently experienced acute oral pain in this region.A radiographic study should be carried out when instrument breakage occurs.

View Article: PubMed Central - PubMed

Affiliation: Departament d'Odontostomatologia, Facultat d'Odontologia, Universitat de Barcelona, Feixa Llarga s/n, 08907, L'Hospitalet de Llobregat, Barcelona, Spain. jmiranda-rius@ub.edu.

ABSTRACT

Background: Breakage of surgical instruments is a rare complication. A mistake in operator technique or sub-standard/aged tools could lead to this type of accident. A tooth elevator is an instrument used in minor oral surgical procedures to luxate the tooth or fractured root from its socket. The authors have not found any previously published cases reporting the breakage of a tooth elevator tip which then remained as a foreign body in a hidden caries cavity.

Case presentation: A 28-year-old African black male was referred to a hospital in Tanzania for an intraoral radiography. The patient explained that six months previously his mandibular left third molar had been extracted. Whilst the healing process had been satisfactory, he had recently experienced acute oral pain in this region. The dental X-ray showed an image consistent with a piece of broken metal embedded in a distal subgingival caries at the mandibular left second molar.

Conclusion: Oral and dental surgeons should take particular care when employing metal instruments with strong force in poorly visible areas. A radiographic study should be carried out when instrument breakage occurs. If an unexpected accident takes place during a surgical procedure, the patient must be informed in accordance with ethical codes, and suitable measures adopted to resolve the issue.

Show MeSH
Related in: MedlinePlus