J Korean Assoc Oral Maxillofac Surg.  2009 Dec;35(6):499-501.

Hemorrhage of Sublingual Region and Airway Obstruction That Occurred after Dental Implant Placement on Mandible Anterior Edentulous Area: Case Report

• Yang SB
• Jang CS
• Jang YW
• Lee EH
• Yim JH
• Kim JY
• Yang BE

Abstract

Because sublingual region is well-vascularized and sublingual artery is passed throughout this region, it should be careful not to perforate lingual cortex when placing dental implant on mandible. A 83-years-old male complained severe sublingual hematoma, hemorrhage and dyspnea came our outpatient department. He had received dental implant placement in the same day. He needed hemostasis and airway control. If soft tissue of sublingual region and the artery are injured, it may result in life-threatening excessive hemorrhage. In dental implant surgery, especially mandible, we should recognize the accurate shape of mandible and anatomy of sublingual region. It is important to stop anticoagulant agent before surgery. When a patient has airway obstruction, the operator should manage airway quickly.

Keyword

Sublingual hemorrhage; Airway obstruction; Tracheotomy; Dental implant

MeSH Terms

Airway Management
Airway Obstruction
Arteries
Dental Implants
Dyspnea
Hematoma
Hemorrhage
Hemostasis
Humans
Male
Mandible
Mouth Floor
Outpatients
Porphyrins
Tracheotomy
Dental Implants
Porphyrins