하악 전치부 무치악부의 임플란트 식립 후 발생한 설하 부위의 출혈과 기도폐쇄

HEMORRHAGE OF SUBLINGUAL REGION AND AIRWAY OBSTRUCTION THAT OCCURRED AFTER DENTAL IMPLANT PLACEMENT ON MANDIBLE ANTERIOR EDENTULOUS AREA : CASE REPORT

  • 양승빈 (한림대학교 의과대학 구강악안면외과학교실, 한림대학교 임상치의학대학원 구강악안면임프란트학과) ;
  • 장창수 (한림대학교 의과대학 구강악안면외과학교실, 한림대학교 임상치의학대학원 구강악안면임프란트학과) ;
  • 장용욱 (한림대학교 의과대학 구강악안면외과학교실, 한림대학교 임상치의학대학원 구강악안면임프란트학과) ;
  • 이우희 (한림대학교 의과대학 구강악안면외과학교실, 한림대학교 임상치의학대학원 구강악안면임프란트학과) ;
  • 임진혁 (한림대학교 의과대학 구강악안면외과학교실, 한림대학교 임상치의학대학원 구강악안면임프란트학과) ;
  • 김좌영 (한림대학교 의과대학 구강악안면외과학교실, 한림대학교 임상치의학대학원 구강악안면임프란트학과) ;
  • 양병은 (한림대학교 의과대학 구강악안면외과학교실, 한림대학교 임상치의학대학원 구강악안면임프란트학과)
  • Yang, Seung-Bin (Department of Oral and Maxillofacial Surgery, School of Medicine, Hallym University, Department of Oral and Maxillofacial Implantology, Graduate School of Clinical Dentistry, Hallym University) ;
  • Jang, Chang-Su (Department of Oral and Maxillofacial Surgery, School of Medicine, Hallym University, Department of Oral and Maxillofacial Implantology, Graduate School of Clinical Dentistry, Hallym University) ;
  • Jang, Yong-Wook (Department of Oral and Maxillofacial Surgery, School of Medicine, Hallym University, Department of Oral and Maxillofacial Implantology, Graduate School of Clinical Dentistry, Hallym University) ;
  • Lee, Eui-Hee (Department of Oral and Maxillofacial Surgery, School of Medicine, Hallym University, Department of Oral and Maxillofacial Implantology, Graduate School of Clinical Dentistry, Hallym University) ;
  • Yim, Jin-Hyuk (Department of Oral and Maxillofacial Surgery, School of Medicine, Hallym University, Department of Oral and Maxillofacial Implantology, Graduate School of Clinical Dentistry, Hallym University) ;
  • Kim, Jwa-Young (Department of Oral and Maxillofacial Surgery, School of Medicine, Hallym University, Department of Oral and Maxillofacial Implantology, Graduate School of Clinical Dentistry, Hallym University) ;
  • Yang, Byoung-Eun (Department of Oral and Maxillofacial Surgery, School of Medicine, Hallym University, Department of Oral and Maxillofacial Implantology, Graduate School of Clinical Dentistry, Hallym University)
  • 발행 : 2009.12.31

초록

Because sublingual region is well-vascularized and sublingual artery is passed throughout this region, it should be careful not to perforate lingual cortex when placing dental implant on mandible. A 83-years-old male complained severe sublingual hematoma, hemorrhage and dyspnea came our outpatient department. He had received dental implant placement in the same day. He needed hemostasis and airway control. If soft tissue of sublingual region and the artery are injured, it may result in life-threatening excessive hemorrhage. In dental implant surgery, especially mandible, we should recognize the accurate shape of mandible and anatomy of sublingual region. It is important to stop anticoagulant agent before surgery. When a patient has airway obstruction, the operator should manage airway quickly.

키워드

참고문헌

  1. Goodacre J, Bernal G, Rungcharassaeng K. Clinical complications with implants and implant prostheses. J Prosthet Dent 2003;90:121-32 https://doi.org/10.1016/S0022-3913(03)00212-9
  2. Kalpidis CD, Setayesh RM. Hemorrhaging associated with endosseous implant placement in the anterior mandible: a review of the literature. J Periodontol. 2004;75:631-45. Review https://doi.org/10.1902/jop.2004.75.5.631
  3. Mardinger O, Manor Y, Mijiritsky E, Hirshberg A. Lingual perimandibular vessels associated with life-threatening bleeding: an anatomic study. Int J Oral Maxillofac Implants. 2007;22:127-31
  4. Hofschneider U, Tepper G, Gahleitner A, Ulm C. Assessment of the blood supply to the mental region for reduction of bleeding complications during implant surgery in the interforaminal region. Int J Oral Maxillofac Implants. 1999;14:379-83
  5. Givol N, Chaushu G, Halamish-Shani T, Taicher S. Emergency tracheostomy following life-threatening hemorrhage in the floor of the mouth during immediate implant placement in the mandibular canine region. J Periodontol. 2000;71:1893-5 https://doi.org/10.1902/jop.2000.71.12.1893
  6. Ardekian L, Gaspar R, Peled M, Brener B, Laufer D. Does lowdose aspirin therapy complicate oral surgical procedures? J Am Dent Assoc. 2000;131:331-5 https://doi.org/10.14219/jada.archive.2000.0176
  7. Van der Meer J. Aspirin, a risk factor for bleeding at dental procedures. Ned Tijdschr Tandheelkd. 1995;102:293-5
  8. Pototski M, Amena′bar JM. Dental management of patients receiving anticoagulation or antiplatelet treatment. J Oral Sci. 2007;49:253-8 https://doi.org/10.2334/josnusd.49.253