Foreign body in the mandible: a case report

Main Article Content

Abdul Habib Mahomed Dadá
https://orcid.org/0000-0001-7392-3998
Gilberto Coelho Fernandes
https://orcid.org/0009-0007-6261-9545
Nelsa Maria José Sisto Inácio
https://orcid.org/0009-0003-1577-5992
Niucha Vasconcelos
https://orcid.org/0000-0003-1923-8468
Mahomed Sidique Abdul Cadar Dadá
https://orcid.org/0000-0001-8864-3219

Abstract

Foreign bodies are defined as any object that is foreign to a specific anatomical location. They are very common in clinical practice and every doctor ends up dealing with these cases, especially in emergency consultations. The aim of this case report is to draw dentists' attention to accidents with foreign bodies in the oral cavity that can occur in dental offices. The authors describe a case report of a 41-year-old female patient, with a dental bur lodged in her jaw, despite being asymptomatic. An expectant approach was adopted. It is important to check the entire mouth and pharynx in cases where a tooth or dental instrument is missing.

Article Details

How to Cite
Dadá, A. H. M., Fernandes, G. C., Inácio, N. M. J. S., Vasconcelos, N., & Dadá, M. S. A. C. (2023). Foreign body in the mandible: a case report. Brazilian Journal of Case Reports, 4(3), 35–39. https://doi.org/10.52600/2763-583X.bjcr.2024.4.3.35-39
Section
Clinical Case Reports
Author Biographies

Abdul Habib Mahomed Dadá, DentalCare Professional Training Center

DentalCare Professional Training Center, Maputo, Mozambique.

Anatomy Service, Morphological Sciences Department, Eduardo Mondlane University, Maputo, Mozambique.

Gilberto Coelho Fernandes, DentalCare Professional Training Center, Maputo, Mozambique

DentalCare Professional Training Center, Maputo, Mozambique.

Nelsa Maria José Sisto Inácio, DentalCare Professional Training Center

DentalCare Professional Training Center, Maputo, Mozambique.

Niucha Vasconcelos, DentalCare Professional Training Center

DentalCare Professional Training Center, Maputo, Mozambique.

Mahomed Sidique Abdul Cadar Dadá, Anatomy Service, Morphological Sciences Department, Eduardo Mondlane University

Anatomy Service, Morphological Sciences Department, Eduardo Mondlane University, Maputo, Mozambique.

References

Carrillo C, Calderón V, Pinedo A. Ingesta de cuerpos extraños. In: A ES, editor. Protocolos diagnóstico-terapéuticos de Gas-troenterología, Hepatología y Nutrición Pediátrica SEGHNP-AEP. Barcelona: Asociación Española de Pediatría. Sociedad Española de Gastroenterología, Hepatología y Nutrición Pediátrica; 2010. p. 132–4.

Ajike SO. Impacted foreign bodies in Dentistry. Vol. 5, Journal of the West African College of Surgeons. India; 2015. p. x–xi.

Dadá MS, Sidat M. Perfil epidemiológico de los pacientes con cuerpos extraños en el Servicio de Otorrinolaringología del Hospital Central de Maputo observados de 1983 a 2009. Revista de otorrinolaringología y cirugía de cabeza y cuello. 2018 Jun;78(2):147–56.

Dadá MS. Estudio epidemiológico de la presencia de cuerpos extraños en pacientes asistidos entre 1983 y 2009 en el Servicio de Otorrinolaringología del Hospital Central de Maputo (Moçambique). Vol. Suficiencia investigadora. [Barcelona]: Universitat Autònoma de Barcelona; 2011.

Dadá M. Estudio de pacientes asistidos en el Servicio de Otorrinolaringologia del Hospital Central de Maputo (Moçambique) con diagnóstico de cuerpo extraño (periodo 2007-2011). Vol. PhD. [Barcelona]: Universitat Autònoma de Barcelona; 2014.

Ali FM, Khan MA, Shtaifi AE, Namis SM. Accidental High-Speed Hand Piece Bur Buried During Surgery of Mandibular Third Molar: A Rare Case Report. MOJ Clinical & Medical Case Reports. 2016 Oct 13;4(6).

Yalcin S, Aktas İ, Emes Y, Atalay B. Accidental displacement of a high-speed handpiece bur during mandibular third molar surgery: a case report. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2008 Mar;105(3):e29–31.

Li K, Xie B, Chen J, He Y. Breakage and displacement of the high-speed hand-piece bur during impacted mandibular third molar extraction: three cases. BMC Oral Health. 2022 Dec 6;22(1):222.

Shah A, Mehta N, Von Arx DP. Fracture of a Dental Needle during Administration of an Inferior Alveolar Nerve Block. Dent Update. 2009 Jan 2;36(1):20–5.

Sukegawa S, Kanno T, Shibata A, Matsumoto K, Sukegawa-Takahashi Y, Sakaida K, et al. Use of an intraoperative navigation system for retrieving a broken dental instrument in the mandible: a case report. J Med Case Rep. 2017 Dec 15;11(1):14.

da Silva Pierro VS, de Morais AP, Granado L, Maia LC. An Unusual Accident during a Primary Molar Extraction. Journal of Clinical Pediatric Dentistry. 2010 Apr 1;34(3):193–5.

Balaji S. Burried broken extraction instrument fragment. Ann Maxillofac Surg. 2013;3(1):93.

Santos SO, Gonçalves R, Costa M, Madureira R. Tratamento Endodôntico Em Dentes Com Instrumentos Fraturados: Relato De Um Caso Clínico. Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial. 2014 Oct;55:e39.

Kaufmann ME, Solderer A, Hofer D, Schmidlin PR. The Strange Case of a Broken Periodontal Instrument Tip. Dent J (Basel). 2020 Jun 3;8(2):55.

Kafas P, Upile T, Angouridakis N, Stavrianos C, Dabarakis N, Jerjes W. Dysaesthesia in the mental nerve distribution triggered by a foreign body: a case report. Cases J. 2009 Dec 28;2(1):169.

Li P, Li Z, Tian W, Tang W. A strategy for removal of foreign body in mandible with navigation system. Int J Oral Maxillofac Surg. 2015 Jul;44(7):885–8.

Ahlgren FKEK, Johannessen AC, Hellem S. Displaced calcium hydroxide paste causing inferior alveolar nerve paraesthesia: report of a case. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2003 Dec;96(6):734–7.

Wüster J, Raguse JD, Kreutzer K, Nahles S, Voß J. Foreign Bodies Caused by Dental Treatment in the Head and Neck - A Surgical Challenge. Craniomaxillofacial Research and Innovation [Internet]. 2022 Sep 16 [cited 2023 Jun 26];7. Available from: https://journals.sagepub.com/doi/10.1177/27528464221085888

Omezli M, Torul D, Sivrikaya E. The prevalence of foreign bodies in jaw bones on panoramic radiography. Indian J Dent. 2015;6(4):185.

Felin abriela C, Carlib JP De, Floresc ME, Prettoa JLB, Dogenskid LC, Conto FDC. Foreign body reaction simulating man-dibular osteosarcoma—Case report. Int J Surg Case Rep [Internet]. 2019;58–62(60):1–3. Available from: http://dx.doi.org/10.1016/j.ijscr.2013.07.017

Chen S, Liu YH, Gao X, Yang CY, Li Z. Computer-assisted navigation for removal of the foreign body in the lower jaw with a mandible reference frame: A case report. Medicine (United States). 2020;99(3):2–6.

Manikandhan R, Anantanarayanan P, Mathew PC, Kumar JN, Narayanan V. Incidence and consequences of bur breakage in orthognathic surgery: A retrospective study with discussion of 2 interesting clinical situations. Journal of Oral and Maxillo-facial Surgery [Internet]. 2011;69(9):2442–7. Available from: http://dx.doi.org/10.1016/j.joms.2010.12.047.