Management of pain and sublingual hematoma caused by suture irritation after implant surgery: a clinical report.
Identifieur interne : 000F81 ( Main/Exploration ); précédent : 000F80; suivant : 000F82Management of pain and sublingual hematoma caused by suture irritation after implant surgery: a clinical report.
Auteurs : Avinash S. Bidra [Oman]Source :
- The Journal of prosthetic dentistry [ 1097-6841 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Complications postopératoires (), Douleur postopératoire (), Femelle, Humains, Hématome (), Implants dentaires, Maladies de la langue (), Mandibule (), Matériaux de suture (effets indésirables), Mâchoire partiellement édentée (), Mâchoire partiellement édentée (rééducation et réadaptation), Plancher de la bouche (anatomopathologie), Polypropylènes (), Polypropylènes (effets indésirables), Pose d'implant dentaire endo-osseux (), Protecteurs buccaux, Élasticité, Études de suivi.
- MESH :
- anatomopathologie : Plancher de la bouche.
- effets indésirables : Matériaux de suture, Polypropylènes.
- rééducation et réadaptation : Mâchoire partiellement édentée.
- Adulte d'âge moyen, Complications postopératoires, Douleur postopératoire, Femelle, Humains, Hématome, Implants dentaires, Maladies de la langue, Mandibule, Mâchoire partiellement édentée, Polypropylènes, Pose d'implant dentaire endo-osseux, Protecteurs buccaux, Élasticité, Études de suivi.
English descriptors
- KwdEn :
- Dental Implantation, Endosseous (methods), Dental Implants, Elasticity, Female, Follow-Up Studies, Hematoma (therapy), Humans, Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Mandible (surgery), Middle Aged, Mouth Floor (pathology), Mouth Protectors, Pain, Postoperative (therapy), Polypropylenes (adverse effects), Polypropylenes (chemistry), Postoperative Complications (therapy), Sutures (adverse effects), Tongue Diseases (therapy).
- MESH :
- chemical , adverse effects : Polypropylenes.
- chemical , chemistry : Polypropylenes.
- chemical : Dental Implants.
- adverse effects : Sutures.
- methods : Dental Implantation, Endosseous.
- pathology : Mouth Floor.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Jaw, Edentulous, Partially, Mandible.
- therapy : Hematoma, Pain, Postoperative, Postoperative Complications, Tongue Diseases.
- Elasticity, Female, Follow-Up Studies, Humans, Middle Aged, Mouth Protectors.
Abstract
Hematoma in the sublingual region is an adverse consequence of implant surgery in the mandibular posterior region. Improved knowledge and understanding of the anatomy as well as the use of advanced radiographic imaging have all contributed to minimizing adverse surgical complications in this region. Delayed sublingual hematoma caused by suture irritation after implant surgery has not previously been reported. This article describes the management of a patient with a delayed sublingual hematoma after implant surgery in the posterior mandible had been performed. No evidence of encroachment of the vascular structures was noted at the time of implant surgery. However, at a 48-hour follow-up, the patient presented with severe pain and irritation of the sublingual mucosa, along with extravasation and a collection of blood in the sublingual region. Based on the patient's symptoms and clinical signs, the source of the problem was determined to be the stiff tags of polypropylene suture, which had been used to attain primary closure of the surgical flaps. The situation was conservatively and successfully managed by the use of a custom soft tissue guard to protect the patient's sublingual mucosa and the tongue from the stiff suture tags. Various suture materials and measures for preventing and managing similar situations are discussed in this article.
DOI: 10.1016/j.prosdent.2014.11.010
PubMed: 25749082
Affiliations:
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Bidra</name><affiliation wicri:level="1"><nlm:affiliation>Program Director and Maxillofacial Prosthodontist, Post-Graduate Prosthodontics, University of Connecticut Health Center, Farmington, Conn; Private practice, Meriden, Conn. Electronic address: avinashbidra@yahoo.com.</nlm:affiliation><country wicri:rule="url">Oman</country></affiliation></author></analytic><series><title level="j">The Journal of prosthetic dentistry</title><idno type="eISSN">1097-6841</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Dental Implantation, Endosseous (methods)</term><term>Dental Implants</term><term>Elasticity</term><term>Female</term><term>Follow-Up Studies</term><term>Hematoma (therapy)</term><term>Humans</term><term>Jaw, Edentulous, Partially (rehabilitation)</term><term>Jaw, Edentulous, Partially (surgery)</term><term>Mandible (surgery)</term><term>Middle Aged</term><term>Mouth Floor (pathology)</term><term>Mouth Protectors</term><term>Pain, Postoperative (therapy)</term><term>Polypropylenes (adverse effects)</term><term>Polypropylenes (chemistry)</term><term>Postoperative Complications (therapy)</term><term>Sutures (adverse effects)</term><term>Tongue Diseases (therapy)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Complications postopératoires ()</term><term>Douleur postopératoire ()</term><term>Femelle</term><term>Humains</term><term>Hématome ()</term><term>Implants dentaires</term><term>Maladies de la langue ()</term><term>Mandibule ()</term><term>Matériaux de suture (effets indésirables)</term><term>Mâchoire partiellement édentée ()</term><term>Mâchoire partiellement édentée (rééducation et réadaptation)</term><term>Plancher de la bouche (anatomopathologie)</term><term>Polypropylènes ()</term><term>Polypropylènes (effets indésirables)</term><term>Pose d'implant dentaire endo-osseux ()</term><term>Protecteurs buccaux</term><term>Élasticité</term><term>Études de suivi</term></keywords><keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Polypropylenes</term></keywords><keywords scheme="MESH" type="chemical" qualifier="chemistry" xml:lang="en"><term>Polypropylenes</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Sutures</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Plancher de la bouche</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Matériaux de suture</term><term>Polypropylènes</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Mouth Floor</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous, Partially</term><term>Mandible</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Hematoma</term><term>Pain, Postoperative</term><term>Postoperative Complications</term><term>Tongue Diseases</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Elasticity</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Middle Aged</term><term>Mouth Protectors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Complications postopératoires</term><term>Douleur postopératoire</term><term>Femelle</term><term>Humains</term><term>Hématome</term><term>Implants dentaires</term><term>Maladies de la langue</term><term>Mandibule</term><term>Mâchoire partiellement édentée</term><term>Polypropylènes</term><term>Pose d'implant dentaire endo-osseux</term><term>Protecteurs buccaux</term><term>Élasticité</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Hematoma in the sublingual region is an adverse consequence of implant surgery in the mandibular posterior region. Improved knowledge and understanding of the anatomy as well as the use of advanced radiographic imaging have all contributed to minimizing adverse surgical complications in this region. Delayed sublingual hematoma caused by suture irritation after implant surgery has not previously been reported. This article describes the management of a patient with a delayed sublingual hematoma after implant surgery in the posterior mandible had been performed. No evidence of encroachment of the vascular structures was noted at the time of implant surgery. However, at a 48-hour follow-up, the patient presented with severe pain and irritation of the sublingual mucosa, along with extravasation and a collection of blood in the sublingual region. Based on the patient's symptoms and clinical signs, the source of the problem was determined to be the stiff tags of polypropylene suture, which had been used to attain primary closure of the surgical flaps. The situation was conservatively and successfully managed by the use of a custom soft tissue guard to protect the patient's sublingual mucosa and the tongue from the stiff suture tags. Various suture materials and measures for preventing and managing similar situations are discussed in this article.</div></front></TEI><affiliations><list><country><li>Oman</li></country></list><tree><country name="Oman"><noRegion><name sortKey="Bidra, Avinash S" sort="Bidra, Avinash S" uniqKey="Bidra A" first="Avinash S" last="Bidra">Avinash S. Bidra</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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