1. Dental root elevator embedded into a subgingival caries: a case report
- Author
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Lluís Brunet-Llobet, Eduard Lahor-Soler, Jaume Miranda-Rius, Albert Ramírez-Rámiz, Ombeni Mrina, and Universitat de Barcelona
- Subjects
Molar ,Adult ,Male ,Càries dental ,Dental Instruments ,Instrument breakage ,Radiography ,Dental instruments and apparatus ,Cirurgia dental ,Gingiva ,Dentistry ,Case Report ,Oral Surgical Procedures ,Dental Caries ,General Biochemistry, Genetics and Molecular Biology ,Mandibular second molar ,stomatognathic system ,medicine ,Aparells i instruments odontològics ,Humans ,Tooth Root ,Tooth elevator ,Medicine(all) ,Biochemistry, Genetics and Molecular Biology(all) ,business.industry ,Radiological finding ,General Medicine ,Root elevator ,Surgical stainless steel ,medicine.disease ,Tooth Avulsion ,Dental instruments ,stomatognathic diseases ,Dental surgery ,Laboratories, diagnostics, equipment ,Tooth Extraction ,Dental caries ,Foreign body ,business - 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.
- Published
- 2014