Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2013 Jan;3(1):93-4.
doi: 10.4103/2231-0746.110076.

Burried broken extraction instrument fragment

Affiliations
Case Reports

Burried broken extraction instrument fragment

S M Balaji. Ann Maxillofac Surg. 2013 Jan.

Abstract

Despite adequate effort to perform tooth removal carefully, some accidents may happen when defective instruments are unknowingly used. This article reports of a non-symptomatic case of a retained fractured dental elevator tip during an uneventful extraction a decade earlier. Patient was not aware till routine radiographic examination revealed its presence. Use of three dimensional imaging techniques in this case is highlighted. Rarely, instruments breakage may occur during surgical procedures. It is duty of the dentists to check the surgical instrument for signs of breakage and be prepared to solve a possible emergency. Retained fragments should be carefully studied prior to attempt of removal.

Keywords: Cone beam computed tomography; elevator; foreign body; mandible; tooth extraction.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
(a) Orthopantomogram of the patient with tip in place, (b) 3D formatted image of the root tip from CBCT, (c) Axial View in CBCT. Note the horizontal split, (d) Clinical Photo. Note the blackish tissue, (e) The size of the elevator tip

References

    1. da Silva Pierro VS, de Morais AP, Granado L, Maia LC. An unusual accident during a primary molar extraction. J Clin Pediatr Dent. 2010;34:193–6. - PubMed
    1. Moore UJ, Fanibunda K, Gross MJ. The use of a metal detector for localization of a metallic foreign body in the floor of the mouth. Br J Oral Maxillofac Surg. 1993;31:191–2. - PubMed
    1. Eggers G, Welzel T, Mukhmadiev D, Wortche R, Hassfeld S, Muhling J. X ray Based Volumetric Imaging of foreign Bodies: A comparison of Computed tomography and digital volume tomography. J Oral Maxillofac Surg. 2007;65:1880–5. - PubMed

Publication types