ABSTRACT
Complications can occur during implant placement; thus, clinicians should be aware of all potential outcomes, and staff members should be fully prepared to respond in case of emergency. A thorough medical history, precise surgical technique, knowledge, and skill are essential to prevent complications. The most serious complications, which could threaten the patient's life, are airway obstruction, bleeding, aspiration of the implant or its parts, infection, cavernous sinus thrombosis, nerve injury, and mandibular fracture.
Subject(s)
Dental Implantation, Endosseous/adverse effects , Dental Implants , Oral Surgical Procedures , Patient Care Planning , Perioperative Period , Postoperative Complications/prevention & control , Dental Implantation, Endosseous/methods , Dental Implants/adverse effects , Emergencies , Humans , Mandibular Fractures , Respiratory Aspiration/etiology , Tooth Root/injuriesABSTRACT
This article reports a rare case of a horizontally displaced dental implant that migrated into the maxillary sinus 6 months after 3 implants were inserted into the augmented maxillary posterior region. Migration of dental implants into the maxillary sinus usually occurs during surgery and can result in serious complications.
Subject(s)
Dental Implants/adverse effects , Foreign-Body Migration/surgery , Maxillary Sinus/surgery , Foreign-Body Migration/diagnostic imaging , Humans , Male , Maxillary Sinus/diagnostic imaging , Middle AgedABSTRACT
Cemento-osseous dysplasia encompasses several different clinical and radiographic presentations, including periapical, focal and florid cemento-osseous dysplasia (FCOD). FCOD is usually asymptomatic and discovered only fortuitously. No treatment is required unless the lesion is secondarily infected. Oral hygiene advice should be emphasized for patients with FCOD to prevent caries and periodontal diseases and to maintain natural teeth. Osseointegration of implants would likely not be successful in these patients because the bone is abnormal and not well-vascularized.
Subject(s)
Cementoma/diagnostic imaging , Incidental Findings , Mandibular Neoplasms/diagnostic imaging , Cone-Beam Computed Tomography/methods , Female , Humans , Middle Aged , Molar/diagnostic imaging , Molar/injuries , Radiography, Panoramic/methods , Tooth Fractures/diagnostic imagingABSTRACT
PURPOSE: The purpose of this study was to bring attention to craniocerebral maxillofacial perforating/penetrating injuries due to AK-47 Kalashnikov falling bullets (FBs); these dangerous injuries to both civilians and soldiers are rare. A review of the literature shows no reports on AK-47 FBs leading to double craniocerebral perforation and settling into the maxillofacial region. The number of victims, the AK-47's availability, the associated morbidity and mortality rates, and the rarity of cases prompted this article. MATERIALS AND METHODS: The treatment of injuries to the craniocerebral facial clinical profile due to FBs is challenging, and an understanding of the neurosurgical and maxillofacial management of these low-velocity FB injuries is required. RESULTS: We treated 11 cases due to AK-47 rifle FBs and 1 due to anti-aircraft Dashka 12.7-mm FBs. Craniocerebral facial injuries were treated and lodged bullets removed from different challenging locations in the base of the skull, without increasing morbidity and with avoidance of unnecessary surgical trauma to the affected area by the bullets. CONCLUSION: The required identification of such injuries can be difficult, and the removal of the lodged bullet to prevent secondary complications and reduce the chance of secondary infection can be graver than in other parts of the body. AK-47 FBs are a major public health concern internationally and require serious attention in terms of protection and management for civilians and soldiers in uniform.
