Analysis of the Risks of Needle Fracture in Dental Procedures: Literature Review
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Keywords

Prevention
Needlestick Accident
Complications
Needlestick Fracture
Dentistry

How to Cite

Bezerra, J. A., Santos , L. C. de S., França , C. C. S., Veras , E. S. de L., Lopes , M. A. B. S., & Júnior , E. F. V. (2025). Analysis of the Risks of Needle Fracture in Dental Procedures: Literature Review. Brazilian Journal of Implantology and Health Sciences, 7(10), 620–637. https://doi.org/10.36557/2674-8169.2025v7n10p620-637

Abstract

Introduction: The use of disposable dental needles has significantly reduced cases of fracture during clinical procedures. Even so, this complication can still occur, usually associated with incorrect use of the needles, either due to excessive force, sudden and unpredictable movements on the part of patients or even a combination of these factors. Objective: The aim of this study is to carry out a literature review on the risks of needle fracture during dental procedures, addressing its etiology, risk factors, clinical implications, preventive measures and recommended conduct in the face of this complication. Methodology: This work analyzes studies through a bibliographic search related to the occurrence of needle fracture, however, national and international databases were used, namely Scientific Electronic Library Online (Scielo), PubMed, using descriptors such as: Prevention; needle accident; complications; needle fracture; and dentistry; combined with the Boolean system “AND” and “OR”, published in the years 2015 to 2025. Results: Smaller gauge needles present a higher risk of fracture compared to thicker ones. It is also important to take into account the possibility of manufacturing defects or imperfections in commercially available needles. Conclusion: In cases where a needle fracture occurs, it is essential to request complementary tests in order to precisely identify the location of the fragment. It is therefore essential that dental professionals understand that, in addition to mastering clinical techniques, it is equally important to know how to guide patients in specific situations. Transmitting confidence and serenity during care is essential to avoid resistance on the part of the patient, and this attitude is just as important as the technical skills needed to handle the case effectively.

https://doi.org/10.36557/2674-8169.2025v7n10p620-637
PDF (Português (Brasil))

References

OLVEIRA, Emauelle De Fátima Ferreira et al. Deslocamento de um fragmento de agulha para a região do trígono carotídeo. Arquivo Brasileiro de Odontologia, v. 14, n. 2, p. 30-35, 2018.

ACHAM, S. et al. Needle fracture as a complication of dental local anesthesia: recommendations for prevention and a comprehensive treatment algorithm based on literature from the past four decades. Clinical Oral Investigations, v. 23, n. 3, p. 1109–1119, 29 jun. 2018.

CASTANHA et al. CONSIDERAÇÕES A RESPEITO DE ACIDENTES E COMPLICAÇÕES EM EXODONTIAS DE TERCEIROS MOLARES: REVISÃO DE LITERATURA. ResearchGate, v. 23, n. 3, p. 105–109, nov. 2018.

CERVINO, G. Milestones of Dentistry: Advent of Anesthetics in Oral Surgery. Dentistry Journal, v. 7, n. 4, 10 dez. 2019.

CIRULLI, N. et al. Needle Fracture in Pterygomandibular Space during Loco-Regional Dental Anesthesia: Systematic Review. Applied Sciences, v. 13, n. 7, p. 4421–4421, 30 mar. 2023.

FIGUEIREDO, R. Técnicas anestésicas em odontologia: o que o profissional precisa saber? Revista Fluminense de Odontologia, 18 jun. 2020.

KENDROUD, Sarah; FITZGERALD, Lauren A.; MURRAY, Ian V.; HANNA, Andrew. Physiology, Nociceptive Pathways. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing, 2025. Disponível em: https://www.ncbi.nlm.nih.gov/books/NBK470255/.

LEE, J. et al. The surgical retrieval of a broken dental needle: A case report. Journal of Dental Anesthesia and Pain Medicine, v. 15, n. 2, p. 97–97, 1 jan. 2015.

MELO, R. C. L. DE et al. Comparação das propriedades anestésicas em duas técnicas anestésicas distintas para molares inferiores. Revista de Odontologia da UNESP, v. 46, n. 4, p. 238–243, ago. 2017.

MIN, K. H.; MORSE, Z. Novel dental anesthetic and associated devices: a scoping review. Journal of Dental Anesthesia and Pain Medicine, v. 24, n. 3, p. 161, 2024.

MONTEIRO, M. A. DE O.; ANTUNES, A. N. DA G.; BASTING, R. T. Physical, chemical, mechanical, and micromorphological characterization of dental needles. Journal of Dental Anesthesia and Pain Medicine, v. 21, n. 2, p. 139–153, 1 abr. 2021.

OLIVEIRA, A. H. A. DE et al. Avaliação da deformação de agulhas gengivais e análise fractal. Revista de Odontologia da UNESP, v. 47, p. 217–222, 30 ago. 2018.

PIERRI, R. A. G. et al. Fluoroscopy for intraoral removal of fractured needle. Uningá Journal, v. 59, n. 1, p. eUJ4242, 22 ago. 2022.

SANCHES, N. DOS S. et al. Auxílio do intensificador de imagem na remoção de agulha gengival curta. Research, Society and Development, v. 10, n. 1, p. e41210111889–e41210111889, 21 jan. 2021.

SANCHES, N. DOS S. et al. Auxílio do intensificador de imagem na remoção de agulha gengival curta. Research, Society and Development, v. 10, n. 1, p. e41210111889, 21 jan. 2021.

SANDRE, L. B. et al. Observational and descriptive analysis of broken dental needles: a case series. Oral and maxillofacial surgery, v. 27, n. 3, p. 433–443, set. 2023.

SHINODA, Masamichi et al. Alterações plásticas nas vias nociceptivas que contribuem para a dor orofacial persistente. Journal of Oral Biosciences , v. 64, n. 3, p. 263-270, 2022.

TERADA, K. et al. Accidental Insertion of a Broken Needle into the Pterygoid Mandibular Space during Inferior Alveolar Nerve Block: A Case Report. Case Reports in Dentistry, v. 2022, p. 1–4, 17 ago. 2022.

VIANA, M. V. G. et al. Conduta cirúrgica após fratura de agulha anestésica em região pterigomandibular. Revista da Faculdade de Odontologia da Universidade Federal da Bahia, v. 53, p. e231203–e231203, 29 dez. 2023.

VILLALOBOS, M. I. DE O. E B. et al. Radiographic and computed tomography monitoring of a fractured needle fragment in the mandibular branch. Imaging Science in Dentistry, v. 47, n. 1, p. 63, 2017.‌

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Copyright (c) 2025 Jaqueline Alves Bezerra, Luma Camilly de Santana Santos , Caio Cesar Silva França , Eduardo Souza de Lobão Veras , Matheus Araújo Brito Santos Lopes , Elesbão Ferreira Viana Júnior

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