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

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 clin...

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Detalles Bibliográficos
Autores principales: Cardoso, Lincoln Lara, Gasperini, Giovanni, Cardoso, Leandro Carvalho, Scartezini, Guilherme Romano, Campos, Annika Ingrid Maria Soderberg, Marão, Heloisa Fonseca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7049839/
https://www.ncbi.nlm.nih.gov/pubmed/32148975
http://dx.doi.org/10.1155/2020/6934286
Descripción
Sumario: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.