Meldepflichtige Vorkommnisse mit Operationsinstrumenten in der Orthopädischen Chirurgie

Kluess, Daniel; Zenk, Karin E.; Mittelmeier, Wolfram

doi:10.1007/s00132-014-2296-0

Cited by 7 publications

(1 citation statement)

References 10 publications

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“…In the maxillofacial speciality the authors reported 7 incidences out of 548 operations [ 5 ]. According to Kluess et al ., it is important that any incident with orthopaedic surgical instruments should be reported to the manufacturer and the health authorities for sufficient processing and risk assessment of the accident [ 6 ]. In the case of some reusable metal instruments both titanium alloys and stainless steel are in the high performance range.…”

Section: Case Presentationmentioning

confidence: 99%

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

et al. 2015

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BackgroundBreakage 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 presentationA 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.ConclusionOral 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.

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Section: Case Presentationmentioning

confidence: 99%