Maxillofac Plast Reconstr Surg.  2018 ;40(1):39. 10.1186/s40902-018-0178-9.

Life-threating outcomes after dental implantation in patient with idiopathic thrombocytopenic purpura: a case report and review of literature

• Lee ST
• Kim JW
• Kwon TG

• KMID: 2431962
• DOI: http://doi.org/10.1186/s40902-018-0178-9

Abstract

BACKGROUND
Patients with chronic ITP (idiopathic thrombocytopenia) frequently do not require comprehensive medication for daily life. Usually, it had been regarded that postoperative bleeding after a simple or surgical extraction is easily controlled by simple local measures even in patients with ITP. This lack of regular medication usage can sometimes lead practitioners or patients to underestimate the potential life-threatening risk of ITP. There had been no report on postoperative hemorrhage in a patient with ITP related to dental implant surgery.
CASE PRESENTATION
This report presented a life-threatening postoperative hemorrhage after dental implant surgery in an adult with chronic ITP and subsequent emergency management after severe bleeding and airway compromise.
CONCLUSION
The presented case emphasizes the thorough hematological evaluation of the patients even for patients who do not take any specific medications for asymptomatic, chronic ITP.

Keyword

Thrombocytopenia; Idiopathic; Dental implant; Bleeding

MeSH Terms

Adult
Dental Implantation*
Dental Implants*
Emergencies
Hemorrhage
Humans
Postoperative Hemorrhage
Purpura, Thrombocytopenic, Idiopathic*
Thrombocytopenia
Dental Implants