Massive Lingual and Sublingual Haematoma following Postextractive Flapless Implant Placement in the Anterior Mandible
Dental implants placement in the anterior mandible with flap or flapless technique is a routine procedure and is considered to be safe. However, serious life-threatening complications may occur. We report the first case of massive lingual and sublingual haematoma following postextractive implant pla...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2015/839098 |
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| author | Luisa Limongelli Angela Tempesta Vito Crincoli Gianfranco Favia |
| author_facet | Luisa Limongelli Angela Tempesta Vito Crincoli Gianfranco Favia |
| author_sort | Luisa Limongelli |
| collection | DOAJ |
| description | Dental implants placement in the anterior mandible with flap or flapless technique is a routine procedure and is considered to be safe. However, serious life-threatening complications may occur. We report the first case of massive lingual and sublingual haematoma following postextractive implant placement in the anterior mandible with flapless technique. A 45-year-old female patient underwent placement of four immediately postextractive implants in the anterior mandible using flapless technique. During the procedure, the patient referred intense acute pain and worsening sign of airway obstruction, dysphagia, dyspnea, and speech difficulties. Bimanual compression of the mouth floor, lingual surface of the mandible, and submental skin was maintained for approximately 25 minutes in order to stop the bleeding. Computerized tomography highlighted the massive lingual and sublingual haematoma. The symptoms and signs had almost completely resolved in the next 48 hours. The prevention of these complications is mandatory with clinical and CT analyses, in order to highlight mandibular atrophy and to select carefully the correct length and angulation of bone drilling and to keep more attention to the flapless technique considering the elevation of a lingual mucoperiosteal flap to access the mandibular contour intraoperatively and to protect the sublingual soft tissues and vasculature in high risk cases. |
| format | Article |
| id | doaj-art-c9c16a73caad47e1a1a40de74fcf4931 |
| institution | OA Journals |
| issn | 2090-6447 2090-6455 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-c9c16a73caad47e1a1a40de74fcf49312025-08-20T02:19:36ZengWileyCase Reports in Dentistry2090-64472090-64552015-01-01201510.1155/2015/839098839098Massive Lingual and Sublingual Haematoma following Postextractive Flapless Implant Placement in the Anterior MandibleLuisa Limongelli0Angela Tempesta1Vito Crincoli2Gianfranco Favia3Department of Interdisciplinary Medicine, Complex Operating Unit of Odontostomatology, Aldo Moro University, Piazza Giulio Cesare 11, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, Complex Operating Unit of Odontostomatology, Aldo Moro University, Piazza Giulio Cesare 11, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, Complex Operating Unit of Odontostomatology, Aldo Moro University, Piazza Giulio Cesare 11, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, Complex Operating Unit of Odontostomatology, Aldo Moro University, Piazza Giulio Cesare 11, 70124 Bari, ItalyDental implants placement in the anterior mandible with flap or flapless technique is a routine procedure and is considered to be safe. However, serious life-threatening complications may occur. We report the first case of massive lingual and sublingual haematoma following postextractive implant placement in the anterior mandible with flapless technique. A 45-year-old female patient underwent placement of four immediately postextractive implants in the anterior mandible using flapless technique. During the procedure, the patient referred intense acute pain and worsening sign of airway obstruction, dysphagia, dyspnea, and speech difficulties. Bimanual compression of the mouth floor, lingual surface of the mandible, and submental skin was maintained for approximately 25 minutes in order to stop the bleeding. Computerized tomography highlighted the massive lingual and sublingual haematoma. The symptoms and signs had almost completely resolved in the next 48 hours. The prevention of these complications is mandatory with clinical and CT analyses, in order to highlight mandibular atrophy and to select carefully the correct length and angulation of bone drilling and to keep more attention to the flapless technique considering the elevation of a lingual mucoperiosteal flap to access the mandibular contour intraoperatively and to protect the sublingual soft tissues and vasculature in high risk cases.http://dx.doi.org/10.1155/2015/839098 |
| spellingShingle | Luisa Limongelli Angela Tempesta Vito Crincoli Gianfranco Favia Massive Lingual and Sublingual Haematoma following Postextractive Flapless Implant Placement in the Anterior Mandible Case Reports in Dentistry |
| title | Massive Lingual and Sublingual Haematoma following Postextractive Flapless Implant Placement in the Anterior Mandible |
| title_full | Massive Lingual and Sublingual Haematoma following Postextractive Flapless Implant Placement in the Anterior Mandible |
| title_fullStr | Massive Lingual and Sublingual Haematoma following Postextractive Flapless Implant Placement in the Anterior Mandible |
| title_full_unstemmed | Massive Lingual and Sublingual Haematoma following Postextractive Flapless Implant Placement in the Anterior Mandible |
| title_short | Massive Lingual and Sublingual Haematoma following Postextractive Flapless Implant Placement in the Anterior Mandible |
| title_sort | massive lingual and sublingual haematoma following postextractive flapless implant placement in the anterior mandible |
| url | http://dx.doi.org/10.1155/2015/839098 |
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