Title: An Incidental Finding of Foreign Body in Extraction Socket: An Unusual Report of Two Cases
Authors: Dr Mayur J Gawande, Dr M.K.Gupta, Dr Chandrashekar R Bande, Dr Manu Goel, Dr Akshay Mishra, Dr Aishwarya Kadu, Dr Devika Shrivastava
DOI: https://dx.doi.org/10.18535/jmscr/v7i12.57
Abstract
Background: Forgotten or missed foreign bodies are often encountered in the oral cavity. These objects may become a potent source of pain and infection. Though foreign body is a common finding, breakage of surgical instrument is a rare intraoperative complication. Improper handling of a surgical instrument or substandard tools may lead to breakage of the instrument. Moreover sometimes an atypical foreign bodies have not yet been reported. Reporting, two cases of a foreign body, associated with an extraction socket, which was later found to be a broken elevator tip & grit particle.
Case Presentation: Two different patient were reported to the Department of Oral & Maxillofacial Surgery at Swargiya Dadasaheb Kalmegh Smruti Dental College & Hospital, Nagpur with different chief complaints After all required radiographic investigations, it were found that foreign body was found in extraction socket which were retrived successfully.
Conclusion: Dentists must pay attention especially when instruments are used in poorly visible areas. Checkup of instruments and materials is also essential. After surgery using routine postoperative screening radiographs help us in conclusion. Dental Professionals should emphasize while deploying metal instruments with strong force in poorly visible areas. A radiographic evaluation is warranted, when instrument breakage occurs intra-operatively. If an unexpected incidence occurs, the patient must be informed and assured all the measures to manage the complications.
Patient should be encouraged to used appropriate instruments or objects (toothbrush, dental floss and tongue cleaner etc other than tooth pics, pins, pencil etc) For cleaning the oral cavity and avoid unusual use of unauthenticated objects to minimize the complications.
Keyword: Extraction Socket, Foreign body, Instrument breakage, Elevator tip, Grit particles
