Accidental displacement of a dental implant into the sublingual space: A Case report

Cariati, Paolo; Fernandez-Solis, José; Marín-Fernández, Ana-Belén; Valencia-Laseca, Alfredo; Monsalve-Iglesias, Fernando

doi:10.4317/jced.52994

Cited by 6 publications

(9 citation statements)

References 8 publications

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“…www.ommegaonline.org Vol: 4 Issue: 1 page no: 10/12 Short title: Implants Displaced into the Mandibular Corpus However, placement of endosseous implants in the posterior mandible has become a common procedure in recent years, although risks are still associated with the surgical or restorative therapy phase. It has been described that implants can be can be pushed into the sublingual space [8] but the migration of an implant into a mandibula corpus are unusual in clinical practice. The treated patients did not show radiological signs such as a large marrow space which observable with a panoramic radiograph, the CBCTs performed after the implant migration showed bone with a large trabecular bone and no other lesion or cyst was observed.…”

Section: Discussionmentioning

confidence: 99%

Dental implants displaced into the mandibular corpus: clinical note

Scarano¹,

Lorusso²,

Oliveira³

et al. 2018

JDOC

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Purpose: Implant migration into the mandibular corpus is a complication reported few times in literature. The aim of study was to describe the clinical characteristics of patients who developed implant displacement into the mandibular corpus, to identify potential risk factors, and to gather information on prevention and treatment of this complication. Methods: We report three cases of implants displaced into the mandibular corpus laterally of mental nerve. Two implants were removed by screwdriver, in only one case an osteotomy was performed with a Piezosurgery device and it was removed with pliers. Results: All patients treated had a trabecular bone not observable with a panoramic radiograph, but they showed in the CBCTs performed after implant migration. In these cases, there is no inflammation or pain, but it is necessary to remove the implant and replace a new implant. None of them had a medical history of osteoporosis. Conclusions: The displacement of implants in the mandibular corpus is not a serious complication, but they must be removed as soon as possible, as the bone healing makes it difficult to remove them later.

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Section: Discussionmentioning

confidence: 99%

Dental implants displaced into the mandibular corpus: clinical note

Scarano¹,

Lorusso²,

Oliveira³

et al. 2018

JDOC

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“…Dental implant treatment is widespread worldwide and improves the quality of life (QOL) by enhancing esthetics and restoring the oral function of individuals who have lost their teeth [1,2]. From being just a popular option, dental implants are now considered the global standard for prosthetic rehabilitation of patients with missing teeth [3][4][5][6][7][8][9][10]. On the other hand, most cases of periodontitis are treated by dental implants, and there is increasing use of implants due to the "implant mind"; therefore, the prevalence of peri-implant lesions and diseases is increasing year by year.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, advanced strategies and surgical skills the dental practitioner are of paramount importance [14][15][16][17][18][19]. Bone augmentation may also be required for dental implant treatment in the posterior mandible with severe alveolar bone resorption [5,20]. This procedure is performed by dental practitioners who have varied experience in dental implant surgery and techniques [16,21,22], suggesting the occurrence of potential complications associated with dental implant surgery.…”

Section: Introductionmentioning

confidence: 99%

“…Displacement or migration of dental implants occurs primarily during the perioperative period of dental implant surgery, though it can even occur after the placement of dental implant prosthesis [9,16,[23][24][25][26][27][28][29]. Displaced dental implants (DDIs) have been reported to migrate to the paranasal sinuses [10,22,26,30,31], mandibular body [24,32] and canal [33], submandibular space [5], buccal space [34], and even to distant locations, such as the esophagus [35] and stomach [36].…”

Section: Introductionmentioning

confidence: 99%

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Analysis of retrieval of dental implants displaced into ectopic locations between 2015–2017 and 2018–2020: scoping review of literature

Miyao,

Osato,

Miyao

et al. 2022

J Oral Med Oral Surg

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Purpose: This study aimed to evaluate differences in 10 items of treatment details in patient regarding cases between 2015–2017 (EP) and 2018–2020 (LP) from scoping literature review of displaced dental implant (DDI) retrievals. Materials and methods: PubMed, Google Scholar, and ScienceDirect were searched using key words including “displaced,” “retrieved,” “migrated,” or “accidental" dental implants. Treatment details were analyzed for the differences between EP and LP in 92 cases from 32 articles published in 13 countries. Statistical significance was evaluated using the Mann-Whitney U-test, Fisher’s exact test, and Pearson’s correlation analysis. Results: In the comparison between EP and LP, there was no significant difference in the number of publication countries (11 vs. 10), number of published articles (17 vs. 15), distributions of cases (50 vs. 42), mean age of patients (55.9 ± 1.8 years vs. 55.3 ± 2.5 years), male-female distribution (31/19 vs. 24/18), and distribution of displacement into the maxillary sinus and other regions (46/4 vs. 34/8), and no significant difference in the Pearson’s correlation between publication years and the number of articles. DDI retrievals utilized intraoral and endoscopic surgeries (61.2% and 82.5%), transoral and transnasal approaches (93.8% and 81.8%), and local and general anesthesia (64.7% and 76.3%) during EP and LP, respectively. Moreover, significant differences were observed in all distributions between the two factors (30/19 vs. 7/33 cases, 30/2 vs. 6/27 cases and 2/12 vs. 9/29 cases) in EP and LP, respectively (P < 0.01). Conclusions: These results suggest that most DDI retrievals in otorhinolaryngology since 2018 have been mostly performed using transnasal endoscopic approaches under general anesthesia.

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“…The most frequent complications of titanium dental implant treatment are infection, implant rejection, and implant displacement. Displacement of implants into the maxillary sinus is a common complication encountered in oral and maxillofacial surgery, but the implant can also shift into the facial spaces, especially the infratemporal, buccal, sublingual, and submandibular fossae [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Successful Management of Ludwig’s Angina due to Dental Implant Displacement: A Rare Case Report

Cardoso

Gasperini

Cardoso

et al. 2020

Case Reports in Dentistry

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Dental implant surgery is a common procedure in oral and maxillofacial surgery practices. Extensive training, skill, and experience allow this procedure to be performed with an atraumatic approach, but like any surgical technique, it is subject to accidents and complications. This is an unusual clinical case of an accidental displacement of an implant into the submandibular space that progressed to Ludwig's angina, and it has not yet been described in the literature. This case report describes a clinical case of dental implant displaced into the submandibular space after healing cap removal. After seven days, it progressed to Ludwig's angina. The removal was performed through extraoral access in the submandibular area by using hemostatic forceps and radioscopic technique. After implant removal, the clinical case showed a satisfactory repair emphasizing the importance of a meticulous clinical planning to achieve an appropriate treatment plan, which is essential for a favorable prognosis. Therefore, prevention and management of displaced objects requires proper planning and surgical technique.

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Accidental displacement of a dental implant into the sublingual space: A Case report

Cited by 6 publications

References 8 publications

Dental implants displaced into the mandibular corpus: clinical note

Dental implants displaced into the mandibular corpus: clinical note

Analysis of retrieval of dental implants displaced into ectopic locations between 2015–2017 and 2018–2020: scoping review of literature

Successful Management of Ludwig’s Angina due to Dental Implant Displacement: A Rare Case Report

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