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MINERVA STOMATOLOGICA

A Journal on Dentistry and Maxillofacial Surgery


Official Journal of the Italian Society of Odontostomatology and Maxillofacial Surgery
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Minerva Stomatologica 2012 July-August;61(7-8):337-40

Copyright © 2012 EDIZIONI MINERVA MEDICA

language: English, Italian

Local anesthesia needle breakage in a 5-year-old child during inferior alveolar nerve block with the Vazirani-Akinosi technique

Bacci C. 1, Mariuzzi M. L. 2, Ghirotto C. 3, Fusetti S. 3

1 Unit of Oral Surgery, Department of Neurosciences, University of Padua, Padua, Italy; 2 Unit of Pediatric Dentistry, Department of Medical-Surgical Specialities, University of Padua, Padua, Italy; 3 Unit of Pediatric Maxillofacial Surgery Department of Neurosciences, University of Padua, Padua, Italy


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Breakage of a local anesthetic needle in dentistry is a rare but potentially serious event.
Here we describe a case of breakage of a hypodermic needle during administration of local anesthesia with a Vazirani-Akinosi mandibular nerve block in a 5-year-old uncooperative patient under moderate sedation with midazolam. The needle was localized using a fluoroscopy device and then removed under general anaesthesia. The postoperative course was unremarkable, without any neurological or vascular deficits

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christian.bacci@unipd.it