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The retrieval of a surgical blade broken within the alveolar bone during minimally traumatic tooth extraction
  1. Eldo Koshy1,
  2. Lovely M Annamma1,
  3. Biji Thomas George2 and
  4. Godfred Antony Menezes3
  1. 1Dr Koshy’s Dental Implant Clinic, Cochin, Kerala, India
  2. 2RAK College of Medical Sciences (RAKCOMS), RAK Medical and Health Sciences University (RAKMHSU), Ras Al Khaimah, UAE
  3. 3RAK College of Medical Sciences (RAKCOMS); Central Research Laboratory (CRL), RAK Medical and Health Sciences University (RAKMHSU), Ras Al Khaimah, UAE
  1. Correspondence to Dr Godfred Antony Menezes; godfred{at}


Minimally traumatic tooth removal is the norm for removing teeth when a dental implant is planned at that site. The quantity of available bone is the primary requisite to place an implant. The initial use of a scalpel blade to widen the periodontal space followed by the use of luxators is one of the techniques that is being followed for atraumatic extraction. A case of accidental breakage of a number 11 scalpel blade while attempting tooth removal and the method adopted in removing this portion of the blade without further bone destruction is reported here. The authors have not found any previously published cases, reporting the breakage of a scalpel blade during the bone expansion procedure and its management.

  • dentistry and oral medicine
  • surgery

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  • Contributors EK and LMA: conception and design. EK, LMA, BTG and GAM: discuss, planning, analysis and reporting.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.