Removal of a Horizontally Displaced Dental Implant below the Mandibular Canal

A clinical case of a horizontally displaced dental implant, which moved below the level of the mandibular canal during surgery is presented together with a brief review of the comparable published cases. The bone mineral density and the morphology of the alveolar ridge were analyzed at the site of o...

Full description

Saved in:
Bibliographic Details
Main Authors: Khodor Ahmed Fakih, Maria Stiliyanova Edreva, Biser Borisov Stoichkov
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2023/6663874
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832547835383382016
author Khodor Ahmed Fakih
Maria Stiliyanova Edreva
Biser Borisov Stoichkov
author_facet Khodor Ahmed Fakih
Maria Stiliyanova Edreva
Biser Borisov Stoichkov
author_sort Khodor Ahmed Fakih
collection DOAJ
description A clinical case of a horizontally displaced dental implant, which moved below the level of the mandibular canal during surgery is presented together with a brief review of the comparable published cases. The bone mineral density and the morphology of the alveolar ridge were analyzed at the site of osteotomy, and the low bone density of 265.32±86.41 Hounsfield Units was found in the area. The factors related to implant displacement were: the anatomical features of bone structure, and the applied mechanical pressure during the implant insertion. The displacement of the dental implant below the level of the mandibular canal during implantation can be a severe complication. Its removal requires the safest surgical approach to avoid damaging the inferior alveolar nerve. The description of one clinical case does not provide grounds for drawing definite conclusions. To avoid similar incidents, detailed radiographic assessment before implantation is necessary; it is also important to follow the surgical protocols of implant placement into soft bone and to create conditions for a good visibility and sufficient control of bleeding during surgery.
format Article
id doaj-art-3eae7dad621148f2aa39264013020874
institution Kabale University
issn 2090-6455
language English
publishDate 2023-01-01
publisher Wiley
record_format Article
series Case Reports in Dentistry
spelling doaj-art-3eae7dad621148f2aa392640130208742025-02-03T06:43:13ZengWileyCase Reports in Dentistry2090-64552023-01-01202310.1155/2023/6663874Removal of a Horizontally Displaced Dental Implant below the Mandibular CanalKhodor Ahmed Fakih0Maria Stiliyanova Edreva1Biser Borisov Stoichkov2Department of Oral and Maxillofacial SurgeryDenta Puls ClinicDepartment of Oral and Maxillofacial SurgeryA clinical case of a horizontally displaced dental implant, which moved below the level of the mandibular canal during surgery is presented together with a brief review of the comparable published cases. The bone mineral density and the morphology of the alveolar ridge were analyzed at the site of osteotomy, and the low bone density of 265.32±86.41 Hounsfield Units was found in the area. The factors related to implant displacement were: the anatomical features of bone structure, and the applied mechanical pressure during the implant insertion. The displacement of the dental implant below the level of the mandibular canal during implantation can be a severe complication. Its removal requires the safest surgical approach to avoid damaging the inferior alveolar nerve. The description of one clinical case does not provide grounds for drawing definite conclusions. To avoid similar incidents, detailed radiographic assessment before implantation is necessary; it is also important to follow the surgical protocols of implant placement into soft bone and to create conditions for a good visibility and sufficient control of bleeding during surgery.http://dx.doi.org/10.1155/2023/6663874
spellingShingle Khodor Ahmed Fakih
Maria Stiliyanova Edreva
Biser Borisov Stoichkov
Removal of a Horizontally Displaced Dental Implant below the Mandibular Canal
Case Reports in Dentistry
title Removal of a Horizontally Displaced Dental Implant below the Mandibular Canal
title_full Removal of a Horizontally Displaced Dental Implant below the Mandibular Canal
title_fullStr Removal of a Horizontally Displaced Dental Implant below the Mandibular Canal
title_full_unstemmed Removal of a Horizontally Displaced Dental Implant below the Mandibular Canal
title_short Removal of a Horizontally Displaced Dental Implant below the Mandibular Canal
title_sort removal of a horizontally displaced dental implant below the mandibular canal
url http://dx.doi.org/10.1155/2023/6663874
work_keys_str_mv AT khodorahmedfakih removalofahorizontallydisplaceddentalimplantbelowthemandibularcanal
AT mariastiliyanovaedreva removalofahorizontallydisplaceddentalimplantbelowthemandibularcanal
AT biserborisovstoichkov removalofahorizontallydisplaceddentalimplantbelowthemandibularcanal