Budihardja Andi S, Pytlik Christoph, Haarmann Stephan, Holzle Frank
Department of Oral and Maxillofacial-Plastic Surgery Ruhr University of Bochum, Fransiskus Hospital Bielefeld, Germany.
Implant Dent. 2006 Jun;15(2):148-52. doi: 10.1097/01.id.0000223224.79449.30.
Placement of dental implants in the interforaminal region of the mandible is generally considered a routine, simple, and safe procedure. However, severe bleeding and hematoma in the floor of the mouth have been reported as a rare but potentially fatal complication related to the placement of an implant in this region. The following report describes a case of life-threatening hemorrhage in the floor of the mouth after second-stage surgery to place the healing abutment. The implants were forced to match with the prosthesis in a severely atrophic upper jaw, resulting in a perforation of the lingual cortex and mucosa of the floor of the mouth. Clinicians who place implants should be knowledgeable in the treatment of such a serious complication.
