Localization of Broken Surgical Bur in the Submandibular Space: Its Prevention, Retrieval and the Role of Cone Beam Computed Tomography (CBCT)

Kalia, Vimal; Kalra, Geeta

doi:10.4172/2165-7920.1000636

Cited by 1 publication

(6 citation statements)

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“…The removal of impacted mandibular third molars is a routine procedure and one of the most common surgical treatments performed within the discipline of oral surgery 3 . Despite adequate efforts to perform these procedures safely, intraoperative accidents or complications during the surgical removal of third molars are not uncommon 4 . A complication during the procedure may include the breakage of surgical instruments.…”

Section: Introductionmentioning

confidence: 99%

“…A complication during the procedure may include the breakage of surgical instruments. Fracture of surgical instruments can be due to excessive stress, fatigue of the instrument, a manufacturing defect or poor handling 4 . It is imperative that the operator pays close attention to instruments being used within the surgical site especially in areas of questionable visibility 4 .…”

Section: Introductionmentioning

confidence: 99%

“…Fracture of surgical instruments can be due to excessive stress, fatigue of the instrument, a manufacturing defect or poor handling 4 . It is imperative that the operator pays close attention to instruments being used within the surgical site especially in areas of questionable visibility 4 . The usage of surgical burs, both flat fissure and tapering fissure are part of the armamentarium during this procedure and breakages have been reported in the exodontia literature 4 .…”

Section: Introductionmentioning

confidence: 99%

“…It is imperative that the operator pays close attention to instruments being used within the surgical site especially in areas of questionable visibility 4 . The usage of surgical burs, both flat fissure and tapering fissure are part of the armamentarium during this procedure and breakages have been reported in the exodontia literature 4 . Avoiding excessive pressure while using a surgical handpiece during bone removal and tooth sectioning can reduce the likelihood of a broken surgical bur 4 .…”

Section: Introductionmentioning

confidence: 99%

“…The usage of surgical burs, both flat fissure and tapering fissure are part of the armamentarium during this procedure and breakages have been reported in the exodontia literature 4 . Avoiding excessive pressure while using a surgical handpiece during bone removal and tooth sectioning can reduce the likelihood of a broken surgical bur 4 . The retrieval of a broken surgical bur especially in the mandibular posterior region can be difficult due to limited access and the proximity of vital anatomical structures in the area 4 .…”

Section: Introductionmentioning

confidence: 99%

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The impact of the COVID‐19 pandemic in managing dental pain: a case report on a foreign body reaction after third molar surgery

Zachar

Kanagaratnam

2020

Oral Surgery

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The COVID-19 pandemic has become a widespread public health concern. Restrictions to dental health care services have been implemented to reduce the risk of transmission. Managing dental pain can become difficult and challenging for those undergoing mandatory quarantine for 14 days and as a result are unable able to access dental care. They often need to resort to pharmacological intervention such as antibiotics and analgesics for pain relief. This case report presents a returned overseas traveller to Australia who developed dental pain and significant facial swelling while in quarantine. The traveller had recently undergone third molar surgery in another country prior to returning home. Upon release, the patient attended a dental clinic and the cause of pain was due to an iatrogenic foreign body (gauze strip and surgical bur) in the mandibular third molar extraction socket. This case reemphasises the dilemma that foreign bodies can have harmful consequences and can lead to a serious complication without surgical retrieval. Clinical relevance Scientific rationale for studyThe dental challenges a returned traveller faced while in mandatory quarantine in Australia during the COVID-19 pandemic. Principal findingsThe traveller had recently undergone third molar surgery prior to returning home and developed a facial swelling and dental pain while in mandatory quarantine. Upon examination, the cause of the dental infection was from an impacted foreign body (retained gauze strip and fractured surgical bur) in the third molar extraction socket. Practical implicationsThe impaction of iatrogenic foreign bodies can result in a foreign body reaction, necessitating removal. This case report highlights how a foreign body reaction can potentially become a serious complication especially during the COVID-19 pandemic.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%