Floor of mouth haemorrhage and life-threatening airway obstruction during immediate implant placement in the anterior mandible

2006 ◽  
Vol 35 (10) ◽  
pp. 961-964 ◽  
Author(s):  
B.M. Woo ◽  
S. Al-Bustani ◽  
B.A. Ueeck
Keyword(s):  
Airway Obstruction ◽  
Floor Of Mouth ◽  
Implant Placement ◽  
Life Threatening ◽  
Immediate Implant ◽  
Anterior Mandible

scholarly journals Massive Lingual and Sublingual Haematoma following Postextractive Flapless Implant Placement in the Anterior Mandible

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Luisa Limongelli ◽  
Angela Tempesta ◽  
Vito Crincoli ◽  
Gianfranco Favia
Keyword(s):  
High Risk ◽  
Soft Tissues ◽  
Bone Drilling ◽  
Routine Procedure ◽  
Implant Placement ◽  
First Case ◽  
Mucoperiosteal Flap ◽  
Life Threatening ◽  
Anterior Mandible ◽  
Symptoms And Signs

Dental implants placement in the anterior mandible with flap or flapless technique is a routine procedure and is considered to be safe. However, serious life-threatening complications may occur. We report the first case of massive lingual and sublingual haematoma following postextractive implant placement in the anterior mandible with flapless technique. A 45-year-old female patient underwent placement of four immediately postextractive implants in the anterior mandible using flapless technique. During the procedure, the patient referred intense acute pain and worsening sign of airway obstruction, dysphagia, dyspnea, and speech difficulties. Bimanual compression of the mouth floor, lingual surface of the mandible, and submental skin was maintained for approximately 25 minutes in order to stop the bleeding. Computerized tomography highlighted the massive lingual and sublingual haematoma. The symptoms and signs had almost completely resolved in the next 48 hours. The prevention of these complications is mandatory with clinical and CT analyses, in order to highlight mandibular atrophy and to select carefully the correct length and angulation of bone drilling and to keep more attention to the flapless technique considering the elevation of a lingual mucoperiosteal flap to access the mandibular contour intraoperatively and to protect the sublingual soft tissues and vasculature in high risk cases.

Maxillofacial Anatomy: The Mandibular Symphysis

2011 ◽  
Vol 37 (6) ◽  
pp. 745-753 ◽  
Author(s):  
Robert J. Miller ◽  
Warren C. Edwards ◽  
Carlos Boudet ◽  
Jonathon H. Cohen
Keyword(s):  
High Resolution ◽  
Dental Implants ◽  
Low Risk ◽  
Arterial Supply ◽  
Cone Beam ◽  
Mandibular Symphysis ◽  
Implant Placement ◽  
Life Threatening ◽  
Anterior Mandible

Placement of dental implants in the anterior mandible is considered by many clinicians to be a relatively low-risk procedure. However, hemorrhagic episodes following implant placement in the mandibular symphysis are regularly reported and can have serious consequences. The use of high-resolution focused cone beam scanners has given us the ability to visualize the intricate neurovascular network of the intraforaminal region without distortion and in greater detail. Knowledge of the arterial supply and navigated implant placement in the mandibular symphysis can help to avoid these potentially life-threatening emergencies.

Minimally Invasive Aesthetic Area Tooth Removal Using Bioextractor® and Immediate Implant Placement with Provisionalization: Case Report

2020 ◽  
Vol 4 (6) ◽  
pp. 31-35
Author(s):  
Sergio Charifker Ribeiro Martins ◽  
Leandro Lecio de Lima Souza ◽  
Karen Christina Soares Tenório ◽  
José Ricardo Mariano ◽  
Ricardo Alberto Heine
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Implant Placement ◽  
Immediate Implant ◽  
Tooth Removal
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