Foreign Bodies in Extraction Socket: An Outcome of Negligence and Proposal of a Classification with its Medico-legal Implications

Joshi, Ajit; Jain, Anuj; Soni, Harleen Kaur

doi:10.1007/s12663-020-01394-z

Cited by 1 publication

(1 citation statement)

References 17 publications

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“…The breakage and migration of their working tip might take place, although this has rarely been reported. If the pieces of broken instrument are left in the body, symptoms such as swelling and pain associated with infection may follow [ 10 ]. da Silva Pierro et al [ 11 ] reported a case of a paediatric dental elevator fracture during a primary mandibular right second molar extraction.…”

Section: Discussionmentioning

confidence: 99%

Breakage and displacement of the high-speed hand-piece bur during impacted mandibular third molar extraction: three cases

Xie

Chen

et al. 2022

BMC Oral Health

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Background The high-speed hand-piece bur is one of the methods to perform tooth sectioning during the minimally traumatic extraction of impacted mandibular third molars. During tooth sectioning, the breakage of the bur might take place when it is improperly used. Three cases of the breakage and displacement of a high-speed hand-piece bur during extraction are reported, aiming to remind dental surgeons of this complication. Case presentation The bur fragment in case 1 was embedded in the mandibular bone under the previously removed crown of tooth 48 and distal to tooth 47. The bur fragment in case 2 was embedded in the lingual edge of the socket and partly beneath the mucosa on the lingual side. The position of the bur fragment in case 3 was similar to that of case 1 but was completely embedded in the spongious bone. The three cases were performed by first-year residents, and all of the bur fragments were successfully removed by attending doctors after accurately locating them by radiological examination. Conclusions In order to avoid breakage of the high-speed hand-piece bur, the number of uses of the bur should be monitored and the integrity and state of the bur should be carefully checked. Moreover, light pressure with little lateral force should be used during tooth sectioning. If bur breakage and displacement occur, the retrieval protocol should be determined based on the imaging findings and conducted as soon as possible to avoid serious consequences.

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Section: Discussionmentioning

confidence: 99%