Vital Life-Threatening Hematoma after Implant Insertion in the Anterior Mandible: A Case Report and Review of the Literature

Dental implant insertion is considered a safe and reliable surgical procedure and severe complications are seldom reported. However, we present a case of a 52-year-old patient who attended our Department of Oral and Maxillofacial Surgery, Johannes Gutenberg University Medical Center, Mainz, with spr...

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Main Authors: Eik Schiegnitz, Maximilian Moergel, Wilfried Wagner
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2015/531865
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author Eik Schiegnitz
Maximilian Moergel
Wilfried Wagner
author_facet Eik Schiegnitz
Maximilian Moergel
Wilfried Wagner
author_sort Eik Schiegnitz
collection DOAJ
description Dental implant insertion is considered a safe and reliable surgical procedure and severe complications are seldom reported. However, we present a case of a 52-year-old patient who attended our Department of Oral and Maxillofacial Surgery, Johannes Gutenberg University Medical Center, Mainz, with spreading hematoma in the floor of the mouth and acute airway obstruction after insertion of a dental implant in the anterior mandible. The hematoma was removed and submentally drained by a silicon drainage. However, the progressive swelling of the tongue and the floor of the mouth necessitated a temporary tracheotomy for three days. The review of the literature summarizes guidelines for prevention and management of this life-threatening complication.
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spelling doaj-art-38e85e1d0c664596b726c269be77a73b2025-02-03T05:46:38ZengWileyCase Reports in Dentistry2090-64472090-64552015-01-01201510.1155/2015/531865531865Vital Life-Threatening Hematoma after Implant Insertion in the Anterior Mandible: A Case Report and Review of the LiteratureEik Schiegnitz0Maximilian Moergel1Wilfried Wagner2Department of Oral and Maxillofacial Surgery, Johannes Gutenberg University Medical Centre, Augustusplatz 2, 55131 Mainz, GermanyDepartment of Oral and Maxillofacial Surgery, Johannes Gutenberg University Medical Centre, Augustusplatz 2, 55131 Mainz, GermanyDepartment of Oral and Maxillofacial Surgery, Johannes Gutenberg University Medical Centre, Augustusplatz 2, 55131 Mainz, GermanyDental implant insertion is considered a safe and reliable surgical procedure and severe complications are seldom reported. However, we present a case of a 52-year-old patient who attended our Department of Oral and Maxillofacial Surgery, Johannes Gutenberg University Medical Center, Mainz, with spreading hematoma in the floor of the mouth and acute airway obstruction after insertion of a dental implant in the anterior mandible. The hematoma was removed and submentally drained by a silicon drainage. However, the progressive swelling of the tongue and the floor of the mouth necessitated a temporary tracheotomy for three days. The review of the literature summarizes guidelines for prevention and management of this life-threatening complication.http://dx.doi.org/10.1155/2015/531865
spellingShingle Eik Schiegnitz
Maximilian Moergel
Wilfried Wagner
Vital Life-Threatening Hematoma after Implant Insertion in the Anterior Mandible: A Case Report and Review of the Literature
Case Reports in Dentistry
title Vital Life-Threatening Hematoma after Implant Insertion in the Anterior Mandible: A Case Report and Review of the Literature
title_full Vital Life-Threatening Hematoma after Implant Insertion in the Anterior Mandible: A Case Report and Review of the Literature
title_fullStr Vital Life-Threatening Hematoma after Implant Insertion in the Anterior Mandible: A Case Report and Review of the Literature
title_full_unstemmed Vital Life-Threatening Hematoma after Implant Insertion in the Anterior Mandible: A Case Report and Review of the Literature
title_short Vital Life-Threatening Hematoma after Implant Insertion in the Anterior Mandible: A Case Report and Review of the Literature
title_sort vital life threatening hematoma after implant insertion in the anterior mandible a case report and review of the literature
url http://dx.doi.org/10.1155/2015/531865
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