Excessive bleeding in the floor of the mouth after endosseus implant placement: a report of two cases.
Identifieur interne : 004D22 ( Main/Exploration ); précédent : 004D21; suivant : 004D23Excessive bleeding in the floor of the mouth after endosseus implant placement: a report of two cases.
Auteurs : L. Dubois [Pays-Bas] ; J. De Lange ; E. Baas ; J. Van IngenSource :
- International journal of oral and maxillofacial surgery [ 1399-0020 ] ; 2010.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Femelle, Humains, Hématome (étiologie), Hémorragie buccale (étiologie), Hémorragie postopératoire (étiologie), Implants dentaires (effets indésirables), Maladies de la langue (étiologie), Mandibule (), Mâchoire édentée (), Mâle, Obstruction des voies aériennes (étiologie), Plancher de la bouche (anatomopathologie), Pose d'implant dentaire endo-osseux (effets indésirables), Sujet âgé, Trachéostomie.
- MESH :
- anatomopathologie : Plancher de la bouche.
- effets indésirables : Implants dentaires, Pose d'implant dentaire endo-osseux.
- étiologie : Hématome, Hémorragie buccale, Hémorragie postopératoire, Maladies de la langue, Obstruction des voies aériennes.
- Adulte d'âge moyen, Femelle, Humains, Mandibule, Mâchoire édentée, Mâle, Sujet âgé, Trachéostomie.
English descriptors
- KwdEn :
- Aged, Airway Obstruction (etiology), Dental Implantation, Endosseous (adverse effects), Dental Implants (adverse effects), Female, Hematoma (etiology), Humans, Jaw, Edentulous (surgery), Male, Mandible (surgery), Middle Aged, Mouth Floor (pathology), Oral Hemorrhage (etiology), Postoperative Hemorrhage (etiology), Tongue Diseases (etiology), Tracheostomy.
- MESH :
- chemical , adverse effects : Dental Implants.
- adverse effects : Dental Implantation, Endosseous.
- etiology : Airway Obstruction, Hematoma, Oral Hemorrhage, Postoperative Hemorrhage, Tongue Diseases.
- pathology : Mouth Floor.
- surgery : Jaw, Edentulous, Mandible.
- Aged, Female, Humans, Male, Middle Aged, Tracheostomy.
Abstract
Placement of dental implants in the interforaminal region of the edentulous mandible is considered a safe and routine surgical procedure. Hemorrhage in the floor of the mouth has been reported as a rare, potentially life-threatening complication related to the placement of implants in this region. In this case report the authors present an immediate and a delayed case of massive bleeding in the floor of the mouth after implant placement. This highly vascularized region is vulnerable and bleeding can be induced easily by instrumentation, causing a vascular trauma, usually by perforation of lingual periostium. In almost all cases the expanding hematoma formation starts during surgery. The effect of the vasoconstrictive agent in the local anesthesic combined with an injury of the lingual arterio-venous plexus can result in delayed swelling, causing respiratory distress through obstruction of the upper airways.
DOI: 10.1016/j.ijom.2009.07.062
PubMed: 20079609
Affiliations:
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Dubois</name><affiliation wicri:level="1"><nlm:affiliation>Department of Oral and Maxillofacial Surgery, Isala klinieken Zwolle, The Netherlands. l.dubois@amc.nl</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Isala klinieken Zwolle</wicri:regionArea><wicri:noRegion>Isala klinieken Zwolle</wicri:noRegion></affiliation></author><author><name sortKey="De Lange, J" sort="De Lange, J" uniqKey="De Lange J" first="J" last="De Lange">J. De Lange</name></author><author><name sortKey="Baas, E" sort="Baas, E" uniqKey="Baas E" first="E" last="Baas">E. Baas</name></author><author><name sortKey="Van Ingen, J" sort="Van Ingen, J" uniqKey="Van Ingen J" first="J" last="Van Ingen">J. Van Ingen</name></author></analytic><series><title level="j">International journal of oral and maxillofacial surgery</title><idno type="eISSN">1399-0020</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Airway Obstruction (etiology)</term><term>Dental Implantation, Endosseous (adverse effects)</term><term>Dental Implants (adverse effects)</term><term>Female</term><term>Hematoma (etiology)</term><term>Humans</term><term>Jaw, Edentulous (surgery)</term><term>Male</term><term>Mandible (surgery)</term><term>Middle Aged</term><term>Mouth Floor (pathology)</term><term>Oral Hemorrhage (etiology)</term><term>Postoperative Hemorrhage (etiology)</term><term>Tongue Diseases (etiology)</term><term>Tracheostomy</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Hématome (étiologie)</term><term>Hémorragie buccale (étiologie)</term><term>Hémorragie postopératoire (étiologie)</term><term>Implants dentaires (effets indésirables)</term><term>Maladies de la langue (étiologie)</term><term>Mandibule ()</term><term>Mâchoire édentée ()</term><term>Mâle</term><term>Obstruction des voies aériennes (étiologie)</term><term>Plancher de la bouche (anatomopathologie)</term><term>Pose d'implant dentaire endo-osseux (effets indésirables)</term><term>Sujet âgé</term><term>Trachéostomie</term></keywords><keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Dental Implantation, Endosseous</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>Implants dentaires</term><term>Pose d'implant dentaire endo-osseux</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Airway Obstruction</term><term>Hematoma</term><term>Oral Hemorrhage</term><term>Postoperative Hemorrhage</term><term>Tongue Diseases</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Mouth Floor</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term><term>Mandible</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Hématome</term><term>Hémorragie buccale</term><term>Hémorragie postopératoire</term><term>Maladies de la langue</term><term>Obstruction des voies aériennes</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Tracheostomy</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mandibule</term><term>Mâchoire édentée</term><term>Mâle</term><term>Sujet âgé</term><term>Trachéostomie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Placement of dental implants in the interforaminal region of the edentulous mandible is considered a safe and routine surgical procedure. Hemorrhage in the floor of the mouth has been reported as a rare, potentially life-threatening complication related to the placement of implants in this region. In this case report the authors present an immediate and a delayed case of massive bleeding in the floor of the mouth after implant placement. This highly vascularized region is vulnerable and bleeding can be induced easily by instrumentation, causing a vascular trauma, usually by perforation of lingual periostium. In almost all cases the expanding hematoma formation starts during surgery. The effect of the vasoconstrictive agent in the local anesthesic combined with an injury of the lingual arterio-venous plexus can result in delayed swelling, causing respiratory distress through obstruction of the upper airways.</div></front></TEI><affiliations><list><country><li>Pays-Bas</li></country></list><tree><noCountry><name sortKey="Baas, E" sort="Baas, E" uniqKey="Baas E" first="E" last="Baas">E. Baas</name><name sortKey="De Lange, J" sort="De Lange, J" uniqKey="De Lange J" first="J" last="De Lange">J. De Lange</name><name sortKey="Van Ingen, J" sort="Van Ingen, J" uniqKey="Van Ingen J" first="J" last="Van Ingen">J. Van Ingen</name></noCountry><country name="Pays-Bas"><noRegion><name sortKey="Dubois, L" sort="Dubois, L" uniqKey="Dubois L" first="L" last="Dubois">L. Dubois</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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