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VOLUME 8 , ISSUE 3 ( March, 2007 ) > List of Articles

RESEARCH ARTICLE

Hematoma Following Periodontal Surgery with a Torus Reduction: A Case Report

Katherine Mantzikos, Stuart L. Segelnick, Robert Schoor

Citation Information : Mantzikos K, Segelnick SL, Schoor R. Hematoma Following Periodontal Surgery with a Torus Reduction: A Case Report. J Contemp Dent Pract 2007; 8 (3):72-80.

DOI: 10.5005/jcdp-8-3-72

License: CC BY-NC 3.0

Published Online: 00-03-2007

Copyright Statement:  Copyright © 2007; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background

There are no published case reports that hematomas occur on the floor of the mouth as a result of periodontal surgery.

Report

These three case reports document post surgical hematoma formation on the floor of the mouth that pose problems with the diagnosis, prognosis, and patient management. All cases involved periodontal surgery where extensive reduction of tori and bony exostoses were required. Two cases resulted in hematomas in the floor of the mouth. However, a change in the post surgical management for a third case demonstrated possible prevention of hematoma formation.

Summary

Hematomas in the floor of the mouth can be a resolving post surgical phenomenon or a serious vascular insult to this region of the oral cavity. This report clarifies the diagnosis, prognosis, and the best management protocol through the presentation of three cases.

Citation

Mantzikos K, Segelnick SL, Schoor R. Hematoma Following Periodontal Surgery with a Torus Reduction: A Case Report. J Contemp Dent Pract 2007 March;(8)3:072-080


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  1. Periodontal Regeneration and Reconstructive Surgery. In:Rose L, Mealey, B., Genco, R., Cohen D., editor. Periodontics, Medicine, Surgery and Implants. St. Louis: Mosby; 2004. p. 573.
  2. Safety aspects of mandibular lingual surgery. J Periodontol 1976;47(4):224-9.
  3. Postoperative complications following dentoalveolar surgery. Dent Clin North Am 1973;17(3):483-504.
  4. Lingual haematoma leading to upper airway obstruction. Br J Oral Maxillofac Surg 1985;23(5):322-5.
  5. Lingual haematoma: yet another unusual cause of upper airway obstruction. Med J Malaysia 1998;53(1):112-4.
  6. Post-traumatic upper airway obstruction secondary to a lingual artery hematoma. J Trauma 1987;27(8):953-4.
  7. Lingual artery hematoma resulting in upper airway obstruction. J Emerg Med 1991;9(6):421-4.
  8. Serious postextraction hemorrhage into the submandibular space: report of case. J Am Dent Assoc 1975;90(3):654-8.
  9. Acute dissecting hematoma: a complication of oral and maxillofacial surgery. J Oral Surg 1981;39(1):40-3.
  10. Spontaneous sublingual hematoma as a complication of severe hypertension: first report of a case. Ear Nose Throat J 2002;81(8):576-8.
  11. Acute upper airway obstruction following sub-lingual haematoma. Ir Med J 1983;76(11):458.
  12. Sublingual hematoma: an unusual complication of heparin anticoagulation. W V Med J 1986;82(5):131.
  13. Lingual hematoma as a potential cause of upper airway obstruction. Anesth Analg 1999;89(6):1573-5.
  14. Haematoma of the floor of the mouth following implant placement. Sadj 2002;57(2):64-5.
  15. Near-fatal airway obstruction after routine implant placement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001;92(6):597-600.
  16. Emergency tracheostomy following lifethreatening hemorrhage in the floor of the mouth during immediate implant placement in the mandibular canine region. J Periodontol 2000;71(12):1893-1895.
  17. Hemorrhage in the floor of the mouth during implant placement in the edentulous mandible: a case report. Int J Oral Maxillofac Implants 1997;12(4):558-61.
  18. Hemorrhaging associated with endosseous implant placement in the anterior mandible: a review of the literature. J Periodontol 2004;75(5):631-45.
  19. Osseous coagulum for bone induction. J Periodontol 1969;40(9):503-10.
  20. Recent advances in molecular biology and physiology of the prostaglandin E2-biosynthetic pathway. Prog Lipid Res 2004;43(1):3-35.
  21. Prostaglandins as modulators of immunity. Trends Immunol 2002;23(3):144-50.
  22. Minimal incision abdominal aortic aneurysm repair. J Vasc Surg 1999;30(6):977-84.
  23. History of minimally invasive spine surgery. Neurosurgery 2002;51(5 Suppl):S1-14.
  24. Laparoscopic vs open colectomy: outcomes comparison based on large nationwide databases. Arch Surg 2003;138(11):1179-86.
  25. Comparison of repair techniques for major incisional hernias. Am J Surg 2003;185(1):61-5.
  26. The case for laparoscopic adrenalectomy. J Urol 2001;166(2):429-36.
  27. Acute-phase reactants in infections and inflammatory diseases. Periodontol 2000 2000;23:19-49.
  28. Pyrogen sensing and signaling: old views and new concepts. Clin Infect Dis 2000;31 Suppl 5:S168-77.
  29. The neurologic basis of fever. N Engl J Med 1994;330(26):1880-6.
  30. The Immune System. 2nd ed. New York: Garland Science. 2004. p. 17.
  31. Lymphatic Disorders. In:Beers M, Fletcher, A., Jones, T., Porter, R., editor. The Merck Manual of Medical Information. 2nd ed: Merck & Co.; 2003. p. 239-42.
  32. Handbook of Local Anesthesia. 5th ed. St. Louis: Mosby; 2004. p. 278.
  33. Preoperative nonsteroidal anti-inflammatory medication for the prevention of postoperative dental pain. J Am Dent Assoc 1989;119(5):641-7.
  34. Suppression of postoperative pain by preoperative administration of ibuprofen in comparison to placebo, acetaminophen, and acetaminophen plus codeine. J Clin Pharmacol 1983;23(1):37-43.
  35. Systemic anti-infective periodontal therapy. A systematic review. Ann Periodontol 2003;8(1):115-81.
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