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Article: Volume 42 Number 3 Page 270 - April 2015

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  Dent Update 2015; 42: 270-272

Oral surgery:  Case Report: Fractured Needle in the Pterygomandibular Space Following Administration of an Inferior Dental Nerve Block

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Abstract: Fortunately, needle fracture is a rare complication following the administration of dental local anaesthetic. We present a case of needle fracture following administration of an inferior dental nerve block. The fractured needle was retrieved successfully under general anaesthetic. We also provide some suggestions on how to prevent needle fracture, and advice on how to manage the situation should it arise.

Clinical relevance: Dental practitioners are the largest user group of local anaesthesia in the UK. It is important that practitioners are aware of the risks to the patient of needle fracture, how to minimize the risk of this occurring and be aware of how to manage the situation should it arise.

Author notes: Edmund Bailey, MFDS, MOralSurg, MPhil, Specialty Doctor in Oral Surgery, University Dental Hospital of Manchester, Jeethendra Rao, FRCS, MFDS, Locum Consultant Maxillofacial Surgeon, Royal Blackburn Hospital and Alka Saksena, MSurgDent(UK), MFDS RCS(Eng), MFGDP(UK), Consultant Oral Surgeon, University Dental Hospital of Manchester, Higher Cambridge Street, Manchester M156FH, UK.

Objective: To increase awareness of needle fracture among dental practitioners.