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

Case Reports in Dentistry
Lincoln Lara CardosoHeloisa Fonseca Marão

Abstract

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.

References

Jul 30, 2003·The Journal of Prosthetic Dentistry·Charles J GoodacreJoseph Y K Kan
Dec 20, 2007·Oral and Maxillofacial Surgery Clinics of North America·Leon Ardekian, Thomas B Dodson
Oct 14, 2008·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Christos AngelopoulosMatt Hlavacek
Oct 9, 2009·Surgical and Radiologic Anatomy : SRA·Hiroshi WatanabeHideki Aoki
Nov 4, 2010·Clinical Oral Implants Research·Hsun-Liang ChanHom-Lay Wang
Nov 12, 2014·Journal of Oral & Maxillofacial Research·Rubens Jorge SilveiraRhonan Ferreira Silva
Oct 29, 2015·The British Journal of Oral & Maxillofacial Surgery·B H KimJ Lee
Oct 6, 2016·Journal of Clinical and Experimental Dentistry·Paolo CariatiFernando Monsalve-Iglesias
Feb 18, 2017·The Journal of Craniofacial Surgery·Serkan DundarErol Keles
Nov 18, 2018·Journal of Endodontics·Avi ShemeshMichael Solomonov

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