Serveur d'exploration sur le patient édenté

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

Identifieur interne : 000958 ( Pmc/Curation ); précédent : 000957; suivant : 000959

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

Auteurs : Jaume Miranda-Rius [Espagne] ; Lluís Brunet-Llobet [Espagne] ; Eduard Lahor-Soler [Espagne] ; Ombeni Mrina ; Albert Ramírez-Rámiz [Espagne]

Source :

RBID : PMC:4352293

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.


Url:
DOI: 10.1186/s13104-015-1011-5
PubMed: 25889967
PubMed Central: 4352293

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Ombeni Mrina
<affiliation>
<nlm:aff id="Aff3">Dental and Oral Department, Soweto General Hospital, Arusha, United Republic of Tanzania</nlm:aff>
<wicri:noCountry code="subfield">United Republic of Tanzania</wicri:noCountry>
</affiliation>

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<journal-title>BMC Research Notes</journal-title>
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<title-group>
<article-title>Dental root elevator embedded into a subgingival caries: a case report</article-title>
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<contrib-group>
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<name>
<surname>Miranda-Rius</surname>
<given-names>Jaume</given-names>
</name>
<address>
<email>jmiranda-rius@ub.edu</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Brunet-Llobet</surname>
<given-names>Lluís</given-names>
</name>
<address>
<email>lbrunet@hsjdbcn.org</email>
</address>
<xref ref-type="aff" rid="Aff2"></xref>
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<name>
<surname>Lahor-Soler</surname>
<given-names>Eduard</given-names>
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<address>
<email>eduardlahor@ub.edu</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mrina</surname>
<given-names>Ombeni</given-names>
</name>
<address>
<email>clinicians@kilibarnadental.com</email>
</address>
<xref ref-type="aff" rid="Aff3"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ramírez-Rámiz</surname>
<given-names>Albert</given-names>
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<address>
<email>faramirezr@ub.edu</email>
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<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<aff id="Aff1">
<label></label>
Departament d’Odontostomatologia, Facultat d’Odontologia, Universitat de Barcelona, Feixa Llarga s/n, 08907, L’Hospitalet de Llobregat, Barcelona, Spain</aff>
<aff id="Aff2">
<label></label>
Servei d’Odontologia, Hospital Universitari Sant Joan de Déu - UB, Esplugues de Llobregat, Barcelona, Spain</aff>
<aff id="Aff3">
<label></label>
Dental and Oral Department, Soweto General Hospital, Arusha, United Republic of Tanzania</aff>
</contrib-group>
<pub-date pub-type="epub">
<day>28</day>
<month>2</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>28</day>
<month>2</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="collection">
<year>2015</year>
</pub-date>
<volume>8</volume>
<elocation-id>60</elocation-id>
<history>
<date date-type="received">
<day>10</day>
<month>11</month>
<year>2014</year>
</date>
<date date-type="accepted">
<day>12</day>
<month>2</month>
<year>2015</year>
</date>
</history>
<permissions>
<copyright-statement>© Miranda-Rius et al.; licensee BioMed Central. 2015</copyright-statement>
<license license-type="open-access">
<license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0">http://creativecommons.org/licenses/by/4.0</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>
) applies to the data made available in this article, unless otherwise stated.</license-p>
</license>
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<abstract id="Abs1">
<sec>
<title>Background</title>
<p>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.</p>
</sec>
<sec>
<title>Case presentation</title>
<p>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.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>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.</p>
</sec>
</abstract>
<kwd-group xml:lang="en">
<title>Keywords</title>
<kwd>Tooth elevator</kwd>
<kwd>Instrument breakage</kwd>
<kwd>Radiological finding</kwd>
<kwd>Surgical stainless steel</kwd>
</kwd-group>
<custom-meta-group>
<custom-meta>
<meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2015</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>

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