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Hemorrhage in the Floor of the Mouth After Second-Stage Surgery: Case Report

Budihardja, Andi S. DDS*; Pytlik, Christoph Drmed, Drmed dent; Haarmann, Stephan Drmed, Drmed dent*; Holzle, Frank Drmed, Drmed dent

doi: 10.1097/
Clinical Science and Techniques

Placement of dental implants in the interforaminal region of the mandible is generally considered a routine, simple, and safe procedure. However, severe bleeding and hematoma in the floor of the mouth have been reported as a rare but potentially fatal complication related to the placement of an implant in this region. The following report describes a case of life-threatening hemorrhage in the floor of the mouth after second-stage surgery to place the healing abutment. The implants were forced to match with the prosthesis in a severely atrophic upper jaw, resulting in a perforation of the lingual cortex and mucosa of the floor of the mouth. Clinicians who place implants should be knowledgeable in the treatment of such a serious complication.

* Trainee for Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial-Plastic Surgery Ruhr University of Bochum (Director Prof.Dr.Dr.K.D.Wolff); †Private practice; Department of Oral and Maxillofacial Surgery, Fransiskus Hospital Bielefeld; and ‡Assistant Professor, Department of Oral and Maxillofacial/Plastic Surgery, Ruhr University of Bochum, Germany (Director Prof.Dr.Dr.K.D.Wolff).

Reprint requests and correspondence to:

Andi S. Budihardja, MD; Department of Oral and Maxillofacial-Plastic Surgery; Ruhr University of Bochum; In der Schornau 27; D-44892 Bochum, Germany; Tel: (49) 1701-751392; Fax: (49) 5221-759988; E-mail:

© 2006 Lippincott Williams & Wilkins, Inc.