title: Case Report: Fractured Needle in the Pterygomandibular Space Following Administration of an Inferior Dental Nerve Block.
abstract: Fortunately, needle fracture is a rare complication following the administration of dental local anaesthetic. We present a case of needle fracture following administration of an inferior dental nerve block. The fractured needle was retrieved successfully under general anaesthetic. We also provide some suggestions on how to prevent needle fracture, and advice on how to manage the situation should it arise. Clinical Relevance: Dental practitioners are the largest user group of local anaesthesia in the UK. It is important that practitioners are aware of the risks to the patient of needle fracture, how to minimize the risk of this occurring and be aware of how to manage the situation should it arise.
authors.forename: Edmund
authors.initials: E
authors.lastname: Bailey
authors.forename: Jeethendra
authors.initials: J
authors.lastname: Rao
authors.forename: Alka
authors.initials: A
authors.lastname: Saksena
mesh_terms: D000328:Adult; D000766:Anesthesia, Dental / Q000009:adverse effects / Q000295:instrumentation*; D004868:Equipment Failure; D005260:Female; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008340:Mandibular Nerve; D009339:Needles / Q000009:adverse effects*; D009407:Nerve Block / Q000009:adverse effects / Q000295:instrumentation*; D056739:Pterygopalatine Fossa / Q000000981:diagnostic imaging / Q000473:pathology*; D011862:Radiography, Panoramic