Abstract
Background
Needle breakage during the administration of dental analgesia is an extremely rare event.
Case report
A case of needle breakage during the administration of an inferior alveolar nerve block occurred in a child with KBG syndrome. During the injection, a sudden movement of the child caused the breakage of the needle. The next day, the retrieval of the needle was performed surgically under general analgesia.
Follow-up
Three months after the surgery the healing was good. Two years later the child underwent a dental extraction with the aid of nitrous oxide/oxygen analgesia/anxiolysis.
Conclusion
Needle fracture is a possible event during the administration of dental analgesia in children.
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References
American Academy of Pediatric Dentistry. Guideline on management of dental patients with special health care needs. Pediatr Dent. 2016;38(6):171–6.
Augello M, von Jackowski J, Grätz KW, Jacobsen C. Needle breakage during local anesthesia in the oral cavity—a retrospective of the last 50 years with guidelines for treatment and prevention. Clin Oral Investig. 2011;15(1):3–8.
Elbay M, Şermet Elbay Ü, Yıldırım S, et al. Comparison of injection pain caused by the DentalVibe Injection System versus a traditional syringe for inferior alveolar nerve block anaesthesia in paediatric patients. Eur J Paediatr Dent. 2015;16(2):123–8.
Fuller NP, Menke RA, Meyers WJ. Perception of pain to three different intraoral penetrations of needles. J Am Dent Assoc. 1979;99(5):822–4.
Goldenberg A, Riccardi F, Tessier A, et al. Clinical and molecular findings in 39 patients with KBG syndrome caused by deletion or mutation of ANKRD11. Am J Med Genet A. 2016;170(11):2847–59.
Guinot Jimeno F, Yuste Bielsa S, Cuadros Fernández C, Lorente Rodríguez AI, Mercadé Bellido M. Objective and subjective measures for assessing anxiety in paediatric dental patients. Eur J Paediatr Dent. 2011;12(4):239–44.
Lee SH, Lee NY. An alternative local anaesthesia technique to reduce pain in paediatric patients during needle insertion. Eur J Paediatr Dent. 2013;14(2):109–12.
Low K, Ashraf T, Canham N, et al. Clinical and genetic aspects of KBG syndrome. Am J Med Genet A. 2016;170(11):2835–46.
Marzo G, Campanella V, Albani F, Gallusi G. Psychological aspects in paediatric dentistry: parental presence. Eur J Paediatr Dent. 2003;4(4):177–80.
Mitchell JA, Logan RA. Genetics home reference. 2005. https://ghr.nlm.nih.gov/condition/kbg-syndrome.
Pogrel MA. Broken local anesthetic needles: a case series of 16 patients, with recommendations. J Am Dent Assoc. 2009;140(12):1517–22.
Ram D, Hermida BL, Amir E. Reaction of children to dental injection with 27- or 30-gauge needles. Int J Paediatr Dent. 2007;17(5):383–7.
Salomon E, Mazzoleni S, Sivolella S, et al. Age limit for infiltration anaesthesia for the conservative treatment of mandibular first molars. A clinical study on a paediatric population. Eur J Paediatr Dent. 2012;13(3 Suppl):259–62.
Acknowledgements
The authors are grateful to the colleagues that have made the diagnosis of KBG syndrome.
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The informed consent was obtained from the parents of the child.
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Bagattoni, S., D’Alessandro, G., Marzo, G. et al. Needle breakage during an inferior alveolar nerve block in a child with KBG syndrome: A case report. Eur Arch Paediatr Dent 19, 125–128 (2018). https://doi.org/10.1007/s40368-018-0336-x
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DOI: https://doi.org/10.1007/s40368-018-0336-x