Study on broken periodontal curets

Kwon, Oh-Jang; Lee, Jae Kwan; Chang, Beom-Seok; Um, Heung‐Sik

doi:10.5051/jkape.2008.38.1.23

Cited by 3 publications

(7 citation statements)

References 9 publications

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“…Root planing showed a higher incidence than flap surgery or supragingival scaling with curettes. The most frequent breakage point was found to be in the upper 1/3 of the blades of the curettes [7].…”

Section: Discussionmentioning

confidence: 94%

The Strange Case of a Broken Periodontal Instrument Tip

et al. 2020

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This case report describes a rare case of a broken periodontal probe tip and its removal. A male patient presented himself in June 2019 due to a painful tooth in the upper left quadrant. The patient elected treatment in the dental school’s student course. In October 2019, in preparation for full-mouth rehabilitation, a complete diagnostic status was performed, including radiographs. In this context, a metal-dense fragment was identified in the apical region of the (missing) tooth 45. It was diagnosed as the broken tip of a periodontal probe (type AE P OWB). Since a PCP-12 probe is generally used in-house, iatrogenic damage during the initial examination or student course could be excluded a priori. The patient was not able to remember any treatment that could be associated with the instrument’s breaking. Since the probe fragment was palpable and a translocation could not be precluded, the patient agreed to its removal under local anesthesia, after a cone-beam CT. This article describes and discusses this particular case, with special emphasis on iatrogenic instrument fractures and their removal.

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Section: Discussionmentioning

confidence: 94%

The Strange Case of a Broken Periodontal Instrument Tip

et al. 2020

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“…Kwon et al [ 17 ] explored the correlation of instrument fracture with type of procedure, breakage point, and operator expertise. Root planning exhibited the highest fracture rate (63.8%), amounting to around 16 fractures per one thousand curettes utilized.…”

Section: Discussionmentioning

confidence: 99%

Instrument fracture in periodontal therapy: ethical disclosure and clinical management - a case report

Yaqoob,

Sadiq,

Karim

et al. 2024

BMC Oral Health

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Periodontal instrument fractures are rare events in dentistry, with limited literature available on their occurrence and management. This case report highlights an incident involving the fracture of a periodontal sickle scaler blade during manual instrumentation for the removal of calculus. The fracture occurred during instrumentation on the mesial surface of the maxillary right second molar, and the separated blade was subsequently pushed into the sulcus. A radiographic assessment was performed to verify the precise location of the fractured segment. Following confirmation, the broken blade was subsequently retrieved using curved artery forceps. The case report highlights factors contributing to instrument fractures, emphasizing the importance of instrument maintenance, sterilization cycles, and operator technique. Ethical considerations regarding patient disclosure, informed consent, and instrument retrieval methods are well discussed. This case underscores the importance of truthful communication, the proper use of instruments, equipment maintenance in dentistry, and the significance of ongoing professional development to enhance treatment safety, proficiency, and ethical standards in dental care.

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“…The retrospective study by Kwon et al 29 investigated the incidence and contributing factors of curette fractures. Fifty‐eight broken periodontal curettes were analyzed.…”

Section: Intraoperative Complications and Treatment Errorsmentioning

confidence: 99%

“…As a consequence, swallowing or aspiration of instrument fragments can occur, as well as local inflammation, local infection, and translocation in the oral tissues. In some cases, it is important to evaluate whether removal of the fragments is indicated or not [29][30][31]. The retrospective study by Kwon et al29 investigated the incidence and contributing factors of curette fractures.…”

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confidence: 99%

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Complications and treatment errors in nonsurgical periodontal therapy

Graziani

Tinto

Orsolini

et al. 2023

Periodontology 2000

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Nonsurgical periodontal therapy can be subject to iatrogenesis, which includes all the complications directly or indirectly related to a treatment. These complications include both operator‐dependent harms and errors and the consequences and adverse effects of the therapeutic procedures. The complications arising following nonsurgical periodontal treatment can be categorized as intraoperative and postoperative and can affect both soft and hard tissues at an intra‐oral and extraoral level. Soft‐tissues damage or damage to teeth and restorations can occur while performing the procedure. In the majority of cases, the risk of bleeding associated with nonsurgical therapy is reported to be low and easily controlled by means of local hemostatic measures, even in medicated subjects. Cervicofacial subcutaneous emphysema is not a frequent extraoral intraoperative complication, occurring during the use of air polishing. Moreover, side effects such as pain, fever, and dentine hypersensitivity are frequently reported as a consequence of nonsurgical periodontal therapy and can have a major impact on a patient's perception of the treatment provided. The level of intraoperative pain could be influenced by the types of instruments employed, the characteristics of tips, and the individual level of tolerance of the patient. Unexpected damage to teeth or restorations can also occur as a consequence of procedural errors.

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Study on broken periodontal curets

Cited by 3 publications

References 9 publications

The Strange Case of a Broken Periodontal Instrument Tip

The Strange Case of a Broken Periodontal Instrument Tip

Instrument fracture in periodontal therapy: ethical disclosure and clinical management - a case report

Complications and treatment errors in nonsurgical periodontal therapy

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