RESUMO
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.
Assuntos
Anestesia Dentária/instrumentação , Corpos Estranhos/etiologia , Nervo Mandibular , Agulhas/efeitos adversos , Bloqueio Nervoso/instrumentação , Fossa Pterigopalatina/patologia , Adulto , Anestesia Dentária/efeitos adversos , Falha de Equipamento , Feminino , Corpos Estranhos/diagnóstico por imagem , Humanos , Bloqueio Nervoso/efeitos adversos , Fossa Pterigopalatina/diagnóstico por imagem , Radiografia PanorâmicaRESUMO
Psychiatric disorders like depression and anxiety are commonly encountered in patients presenting to dental practitioners. The symptoms at presentation may not always be straightforward and, if not suspected and specifically explored, can often be missed. If unrecognized and hence subsequently untreated, this can have numerous adverse consequences to the patient and the health service. Hence, it is important that dental practitioners are more aware of the varying presentations, assessment and management of psychiatric disorders in their patients. In this paper, we focus on description of the common psychiatric disorders and their assessment from a dental practitioner's perspective. There is clearly a need for greater collaboration between dental practitioners and psychiatrists.
