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İMPLANT CERRAHİSİNDE HAYATI TEHDİT EDEN HEMATOM: OLGU SUNUMU VE LİTERATÜR TARAMASI

Year 2020, , 71 - 75, 04.05.2020
https://doi.org/10.34108/eujhs.545371

Abstract

Dental implantlar
günümüzde dişsiz çenelerde sıklıkla ve başarılı bir şekilde uygulanan güncel
bir tedavi yöntemidir. Maksillo-mandibular alanlarda uygulanan bu tedavi yöntemi
özellikle antikoagülan ilaç kullanımı olan hastalarda ciddi komplikasyonların
meydana gelmesine sebep olabilir. Bu komplikasyonlardan en önemlisi majör
cerrahi işlemler sırasında veya sonrasında görülen hayatı tehdit eden
kanamadır. Bu tip kanamalar sonrasında ağız tabanı ve çevresinde hematom
gelişmesi ile hava yolunun tam veya kısmi olarak tıkanmasına kadar giden ciddi
problemlere yol açabilir. Sonuçta hastaların hava yolu güvenliğinin sağlanması
için acil olarak entübe edilmesi ya da trakeotomi yapılması gerekmektedir. Bu vaka
raporunda, 65 yaşında kalp kapak replasmanı nedeniyle varfarin sodyum kullanan
erkek hasta protetik tedavi için kliniğimize başvurdu. Lokal anestezi altında
çoklu diş çekimlerini takiben maksilla ve mandibulaya 9 adet implant yerleştirildi.
Cerrahi işlemden bir gün sonra görülen yaygın ve diffüz tipte hematom yaklaşık
on gün sürdü.  Hastanın kan hemoglobin
değerindeki ani düşüş nedeniyle iki defa acil olarak kan replasmanı yapıldı.
Kanama kontrolü için lokal hemostatik ajanlar ile bimanuel kompresyon ve
elektrokoter kullanıldı. İyileşme tamamlandıktan dört ay sonra hastanın
protezleri yapılarak tedavisi sorunsuz bitirildi.

References

  • De Kok IJ, Duqum IS, Katz LH, Cooper LF. Management of Implant/Prosthodontic Complications. Dent Clin North Am 2019; 63(2):217-231.
  • Kalpidis CD, Setayesh RM. Hemorrhaging associated with endosseous implant placement in the anterior mandible: a review of the literature. J Periodontol 2004; 75(5):631-45.
  • Al-Mubarak S, Rass MA, Alsuwyed A, et al. Thromboembolic risk and bleeding in patients maintaining or stopping oral anticoagulant therapy during dental extraction. J Thromb Haemost 2006; 4(3):689-91.
  • Wahl MJ, Pinto A, Kilham J, et al. Dental surgery in anticoagulated patients--stop the interruption. Oral Surg, Oral Med, Oral Pathol Oral Radiol 2015; 119(2):136-57.
  • Jhonston S. An evidence summary of the management of patient taking direct oral anticoagulants (DOACs) undergoing dental surgery. Int J Oral Maxillofac Surg 2016; 45(5): 618-30.
  • Kim C, Dam C, Jeong J, et al. Delayed bleeding after implant surgery in patients taking novel oral anticoagulants: a case report. J Dent Anesth Pain Med 2017; 17(2):143-147.
  • Hong C, Napenas JJ, Brennan M, et al. Risk of postoperative bleeding after dental procedures in patients on warfarin: a retrospective study. Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 114(4):464-8.
  • Law C, Alam P, Borumandi F. Floor-of-Mouth Haematoma Following Dental Implant Placement: Literature Review and Case Presentation. J Oral and Maxillofac Surg 2017; 75(11):2340-2346.
  • Schiegnitz E, Moergel M, Wagner W. Vital Life-Threatening Hematoma after Implant Insertion in the Anterior Mandible: A Case Report and Review of the Literature Case Rep Dent 2015; 2015:531865.
  • Hong YH, Mun SK. A case of massive maxillary sinus bleeding after dental implant. Int J Oral Maxillofac Surg 2011; 40(7):758-60.
  • Kim DH, Won SY, Choi DY, et al. Topography of the submental artery that should be considered in bleeding during dentoalveolar surgery. J Craniofac Surg 2012; 23(5):1453-6.
  • Bidra AS. Management of pain and sublingual hematoma caused by suture irritation after implant surgery: a clinical report. J Prosthet Dent 2015; 113(5):360-5.
  • Dubois L, de Lange J, Baas E, et al. Excessive bleeding in the floor of the mouth after endosseus implant placement: a report of two cases. Int J Oral Maxillofac Surg 2010; 39(4):412-5.
  • Weibrich G, Foitzik Ch, Kuffner H. Life threatening oral hemorrhage after implantation into the distal right mandible. Mund Kiefer Gesichtschir 2002; 6(6):442-5.
  • Del Castillo-Pardo de Vera JL, López-Arcas Calleja JM, Burgueño-García M. Hematoma of the floor of the mouth and airway obstruction during mandibular dental implant placement: a case report. Oral Maxillofac Surg 2008; 12(4):223-6.
  • Pigadas N, Simoes P, Tuffin JR. Massive sublingual haematoma following osseo-integrated implant placement in the anterior mandible. Br Dent J 2009; 206(2):67-8.
  • Hwang HD, Kim JW, Kim YS, et al. Angiographic embolization for hemorrhage control after dental implantation. J Korean Assoc Oral Maxillofac Surg 2013; 39(1):27-30.
  • Limongelli L, Tempesta A, Crincoli V, et al. Massive Lingual and Sublingual Haematoma following Postextractive Flapless Implant Placement in the Anterior Mandible. Case Rep Dent 2015; 2015:839098.
Year 2020, , 71 - 75, 04.05.2020
https://doi.org/10.34108/eujhs.545371

Abstract

References

  • De Kok IJ, Duqum IS, Katz LH, Cooper LF. Management of Implant/Prosthodontic Complications. Dent Clin North Am 2019; 63(2):217-231.
  • Kalpidis CD, Setayesh RM. Hemorrhaging associated with endosseous implant placement in the anterior mandible: a review of the literature. J Periodontol 2004; 75(5):631-45.
  • Al-Mubarak S, Rass MA, Alsuwyed A, et al. Thromboembolic risk and bleeding in patients maintaining or stopping oral anticoagulant therapy during dental extraction. J Thromb Haemost 2006; 4(3):689-91.
  • Wahl MJ, Pinto A, Kilham J, et al. Dental surgery in anticoagulated patients--stop the interruption. Oral Surg, Oral Med, Oral Pathol Oral Radiol 2015; 119(2):136-57.
  • Jhonston S. An evidence summary of the management of patient taking direct oral anticoagulants (DOACs) undergoing dental surgery. Int J Oral Maxillofac Surg 2016; 45(5): 618-30.
  • Kim C, Dam C, Jeong J, et al. Delayed bleeding after implant surgery in patients taking novel oral anticoagulants: a case report. J Dent Anesth Pain Med 2017; 17(2):143-147.
  • Hong C, Napenas JJ, Brennan M, et al. Risk of postoperative bleeding after dental procedures in patients on warfarin: a retrospective study. Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 114(4):464-8.
  • Law C, Alam P, Borumandi F. Floor-of-Mouth Haematoma Following Dental Implant Placement: Literature Review and Case Presentation. J Oral and Maxillofac Surg 2017; 75(11):2340-2346.
  • Schiegnitz E, Moergel M, Wagner W. Vital Life-Threatening Hematoma after Implant Insertion in the Anterior Mandible: A Case Report and Review of the Literature Case Rep Dent 2015; 2015:531865.
  • Hong YH, Mun SK. A case of massive maxillary sinus bleeding after dental implant. Int J Oral Maxillofac Surg 2011; 40(7):758-60.
  • Kim DH, Won SY, Choi DY, et al. Topography of the submental artery that should be considered in bleeding during dentoalveolar surgery. J Craniofac Surg 2012; 23(5):1453-6.
  • Bidra AS. Management of pain and sublingual hematoma caused by suture irritation after implant surgery: a clinical report. J Prosthet Dent 2015; 113(5):360-5.
  • Dubois L, de Lange J, Baas E, et al. Excessive bleeding in the floor of the mouth after endosseus implant placement: a report of two cases. Int J Oral Maxillofac Surg 2010; 39(4):412-5.
  • Weibrich G, Foitzik Ch, Kuffner H. Life threatening oral hemorrhage after implantation into the distal right mandible. Mund Kiefer Gesichtschir 2002; 6(6):442-5.
  • Del Castillo-Pardo de Vera JL, López-Arcas Calleja JM, Burgueño-García M. Hematoma of the floor of the mouth and airway obstruction during mandibular dental implant placement: a case report. Oral Maxillofac Surg 2008; 12(4):223-6.
  • Pigadas N, Simoes P, Tuffin JR. Massive sublingual haematoma following osseo-integrated implant placement in the anterior mandible. Br Dent J 2009; 206(2):67-8.
  • Hwang HD, Kim JW, Kim YS, et al. Angiographic embolization for hemorrhage control after dental implantation. J Korean Assoc Oral Maxillofac Surg 2013; 39(1):27-30.
  • Limongelli L, Tempesta A, Crincoli V, et al. Massive Lingual and Sublingual Haematoma following Postextractive Flapless Implant Placement in the Anterior Mandible. Case Rep Dent 2015; 2015:839098.
There are 18 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Review Articles
Authors

Ömer Ülker 0000-0001-6013-106X

Ahmet Emin Demirbaş 0000-0002-2602-6415

Publication Date May 4, 2020
Submission Date March 28, 2019
Published in Issue Year 2020

Cite

APA Ülker, Ö., & Demirbaş, A. E. (2020). İMPLANT CERRAHİSİNDE HAYATI TEHDİT EDEN HEMATOM: OLGU SUNUMU VE LİTERATÜR TARAMASI. Sağlık Bilimleri Dergisi, 29(1), 71-75. https://doi.org/10.34108/eujhs.545371
AMA Ülker Ö, Demirbaş AE. İMPLANT CERRAHİSİNDE HAYATI TEHDİT EDEN HEMATOM: OLGU SUNUMU VE LİTERATÜR TARAMASI. JHS. May 2020;29(1):71-75. doi:10.34108/eujhs.545371
Chicago Ülker, Ömer, and Ahmet Emin Demirbaş. “İMPLANT CERRAHİSİNDE HAYATI TEHDİT EDEN HEMATOM: OLGU SUNUMU VE LİTERATÜR TARAMASI”. Sağlık Bilimleri Dergisi 29, no. 1 (May 2020): 71-75. https://doi.org/10.34108/eujhs.545371.
EndNote Ülker Ö, Demirbaş AE (May 1, 2020) İMPLANT CERRAHİSİNDE HAYATI TEHDİT EDEN HEMATOM: OLGU SUNUMU VE LİTERATÜR TARAMASI. Sağlık Bilimleri Dergisi 29 1 71–75.
IEEE Ö. Ülker and A. E. Demirbaş, “İMPLANT CERRAHİSİNDE HAYATI TEHDİT EDEN HEMATOM: OLGU SUNUMU VE LİTERATÜR TARAMASI”, JHS, vol. 29, no. 1, pp. 71–75, 2020, doi: 10.34108/eujhs.545371.
ISNAD Ülker, Ömer - Demirbaş, Ahmet Emin. “İMPLANT CERRAHİSİNDE HAYATI TEHDİT EDEN HEMATOM: OLGU SUNUMU VE LİTERATÜR TARAMASI”. Sağlık Bilimleri Dergisi 29/1 (May 2020), 71-75. https://doi.org/10.34108/eujhs.545371.
JAMA Ülker Ö, Demirbaş AE. İMPLANT CERRAHİSİNDE HAYATI TEHDİT EDEN HEMATOM: OLGU SUNUMU VE LİTERATÜR TARAMASI. JHS. 2020;29:71–75.
MLA Ülker, Ömer and Ahmet Emin Demirbaş. “İMPLANT CERRAHİSİNDE HAYATI TEHDİT EDEN HEMATOM: OLGU SUNUMU VE LİTERATÜR TARAMASI”. Sağlık Bilimleri Dergisi, vol. 29, no. 1, 2020, pp. 71-75, doi:10.34108/eujhs.545371.
Vancouver Ülker Ö, Demirbaş AE. İMPLANT CERRAHİSİNDE HAYATI TEHDİT EDEN HEMATOM: OLGU SUNUMU VE LİTERATÜR TARAMASI. JHS. 2020;29(1):71-5.