Excessive bleeding in the floor of the mouth after endosseus implant placement: a report of two cases.
Identifieur interne : 001992 ( PubMed/Corpus ); précédent : 001991; suivant : 001993Excessive bleeding in the floor of the mouth after endosseus implant placement: a report of two cases.
Auteurs : L. Dubois ; J. De Lange ; E. Baas ; J. Van IngenSource :
- International journal of oral and maxillofacial surgery [ 1399-0020 ] ; 2010.
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
Links to Exploration step
pubmed:20079609Le document en format XML
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<author><name sortKey="Dubois, L" sort="Dubois, L" uniqKey="Dubois L" first="L" last="Dubois">L. Dubois</name>
<affiliation><nlm:affiliation>Department of Oral and Maxillofacial Surgery, Isala klinieken Zwolle, The Netherlands. l.dubois@amc.nl</nlm:affiliation>
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<author><name sortKey="De Lange, J" sort="De Lange, J" uniqKey="De Lange J" first="J" last="De Lange">J. De Lange</name>
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<author><name sortKey="Baas, E" sort="Baas, E" uniqKey="Baas E" first="E" last="Baas">E. Baas</name>
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<author><name sortKey="Van Ingen, J" sort="Van Ingen, J" uniqKey="Van Ingen J" first="J" last="Van Ingen">J. Van Ingen</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Excessive bleeding in the floor of the mouth after endosseus implant placement: a report of two cases.</title>
<author><name sortKey="Dubois, L" sort="Dubois, L" uniqKey="Dubois L" first="L" last="Dubois">L. Dubois</name>
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<author><name sortKey="De Lange, J" sort="De Lange, J" uniqKey="De Lange J" first="J" last="De Lange">J. De Lange</name>
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<author><name sortKey="Baas, E" sort="Baas, E" uniqKey="Baas E" first="E" last="Baas">E. Baas</name>
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<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="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Dental Implants</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Dental Implantation, Endosseous</term>
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<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>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Mouth Floor</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term>
<term>Mandible</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>
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<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>
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<Title>International journal of oral and maxillofacial surgery</Title>
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<ArticleTitle>Excessive bleeding in the floor of the mouth after endosseus implant placement: a report of two cases.</ArticleTitle>
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<Abstract><AbstractText>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.</AbstractText>
<CopyrightInformation>Copyright (c) 2009 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation>
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<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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