A Case of the Enucleation of an Apex of the Elevator to be Remained within the Mandible

Abstract

SummaryIn this paper

Efficient removal technique of foreign body in the mandible with optimization of 3D simulation

“…The appropriate time to remove foreign bodies is unknown. There are various reports regarding the timing of the surgical procedures involved in the removal of foreign bodies 6,10–16,18,19 . In our case, the removal surgery was performed 3 months after accident because it took patient and family a while to decide on courses of treatment (i.e., conservative therapy or surgery).…”

“…Iatrogenic foreign bodies are usually associated with inadequate technique or the erroneous selection of an instrument 9 . There are case reports about iatrogenic foreign bodies of dental elevators, surgical knives, and bur breakages of high‐speed dental hand‐piece burs 10–17 . Cases that have shown sufficient clinical data and clinical information (i.e., age, sex, and broken tools) are listed in Table 1.…”

“…9 There are case reports about iatrogenic foreign bodies of dental elevators, surgical knives, and bur breakages of high-speed dental hand-piece burs. [10][11][12][13][14][15][16][17] Cases that have shown sufficient clinical data and clinical information (i.e., age, sex, and broken tools) are listed in Table 1. In our case, the breakage bur was made of steel with tungsten carbide, echoing previous reports, 16 suggesting that the application of force during cutting has a greater effect on breakage than the original physical characteristics of the burs.…”

“…Most iatrogenic foreign bodies were found during mandibular third molar extraction (Table 1). 6,[10][11][12][13][14][15][16]18,19 Considering previous reports that tungsten carbide burs are easily broken, 13,19,20 we recommend that an inexperienced dentist avoid using the bur. In case of using the bur, we should pay attention to use the bur without applying any unreasonable force under secure sufficient surgical field.…”

“…There are various reports regarding the timing of the surgical procedures involved in the removal of foreign bodies. 6,[10][11][12][13][14][15][16]18,19 In our case, the removal surgery was performed 3 months after accident because it took patient and family a while to decide on courses of treatment (i.e., conservative therapy or surgery). Morita et al reported that foreign bodies must be removed early since the foreign bodies were formed by covering them with connective tissue over 2 weeks.…”