Browse > Article

Excessive Bleeding after Implant Placement in the Anterior Mandible: Case Report  

Jo, Ji-Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University)
Kim, Su-Gwan (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University)
Moon, Seong-Yong (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University)
Oh, Ji-Su (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University)
Kim, Jeong-Sun (Department of Dental Hygiene, Gwangju Health College University)
Publication Information
Maxillofacial Plastic and Reconstructive Surgery / v.33, no.2, 2011 , pp. 171-175 More about this Journal
Abstract
Implant placement on the anterior mandible is considered a common and safe surgical procedure. However, severe hemorrhage can occur if branches of the sublingual artery, which run through the lingual cortical plate of the mandible, are damaged. Excessive hemorrhage caused by injury to the sublingual artery can result in life-threatening problems such as airway obstruction. A 54-year old male patient without any generalized systemic conditions was referred due to active bleeding after implant placement in the anterior mandible. Gauze compression with surgicel and bosimin were performed and hemostasis was achieved. The patient was discharged after 3 days without any supplementary bleeding.
Keywords
Complication; Implant; Postoperative hemorrhage; Sublingual artery;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Gahleitner D, Hofschneider U, Tepper G, et al. Lingual vascular canals of the mandible: evaluation with dental CT. Radiology 2001;220:186-9.   DOI
2 Goldstein BH. Acute dissecting hematoma: a complication of oral and maxillofacial surgery. J Oral Surg 1981;39:40-3.
3 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.   DOI   ScienceOn
4 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.   DOI   ScienceOn
5 Liang SS, Chu YG, Kim CS, Lee SH, Byeon KJ. Dermoid cyst on the floor of the mouth: a case report. J Korean Assoc Maxillofac Plast Reconstr Surg 2009;31:531-4.
6 Tepper G, Hofschneider UB, Gahleitner A, Ulm C. Computed tomographic diagnosis and localization of bone canals in the mandibular interforaminal region for prevention of bleeding complications during implant surgery. Int J Oral Maxillofac Implants 2001;16:68-72.
7 Cova M, Ukmar M, Bole T, Morra A, Lubin E, Pozzi Mucelli R. Evaluation of lingual vascular canals of the mandible with computed tomography. Radiol Med 2003;106:391-8.
8 Popowich L, Samit A. Respiratory obstruction following vestibuloplasty and lowering of the floor of the mouth. J Oral Maxillofac Surg 1983;41:255-7.   DOI   ScienceOn
9 Sakamoto E, Miller R, Stratigos GT, Arthur A. Serious postextraction hemorrhage into the submandibular space: report of case. J Am Dent Assoc 1975;90:654-8.   DOI
10 McDonnell D, Reza Nouri M, Todd ME. The mandibular lingual foramen: a consistent arterial foramen in the middle of the mandible. J Anat 1994;184:363-9.
11 Darriba MA, Mendonca-Caridad JJ. Profuse bleeding and life-threatening airway obstruction after placement of mandibular dental implants. J Oral Maxillofac Surg 1997;55:1328-30.   DOI   ScienceOn
12 Rosenbaum L, Thurman P, Krantz SB. Upper airway obstruction as a complication of oral anticoagulation therapy. Report of three cases. Arch Intern Med 1979;139:1151-3.   DOI   ScienceOn
13 Cohen AF, Warman SP. Upper airway obstruction secondary to warfarin-induced sublingual hematoma. Arch Otolaryngol Head Neck Surg 1989;115:718-20.   DOI   ScienceOn
14 Lanigan DT, Hey J, West RA. Hemorrhage following mandibular osteotomies: a report of 21 cases. J Oral Maxillofac Surg 1991;49:713-24.   DOI
15 Laboda G. Life-threatening hemorrhage after placement of an endosseous implant: report of case. J Am Dent Assoc 1990;121:599-600.   DOI
16 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.   DOI   ScienceOn
17 Longoni S, Sartori M, Braun M, et al. Lingual vascular canals of the mandible: the risk of bleeding complications during implant procedures. Implant Dent 2007;16:131-8.   DOI   ScienceOn
18 Mason ME, Triplett RG, Alfonso WF. Life-threatening hemorrhage from placement of a dental implant. J Oral Maxillofac Surg 1990;48:201-4.   DOI
19 Niamtu J 3rd. Near-fatal airway obstruction after routine implant placement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001;92:597-600.   DOI   ScienceOn