Bluish swelling next to implant restoration: next steps?
During seating of the implant restoration, I noticed a red-bluish swelling at the buccal area that wasn’t there before. It could possibly be from the injection. Patient had no symptoms. I will follow up with him in 2 weeks. What do you recommend for the next step?
12 Comments on Bluish swelling next to implant restoration: next steps?
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Leal
11/14/2017
Looks like haemangioma.
If it definitely wasn't there before, then just an haematoma.
What anaesthetic solution did you use? With or without adrenaline?
Ahmed
11/14/2017
I usually start with half carp carb plain ,then inject full Articaine 1:100epi ,I think I used 2 carp Articaine 1:100000epi and half carp carb plain
docjj1
11/15/2017
Differential Diagnosis:
1. varix
2. A-V malformation
3. hemangioma (benign tumor)
The location makes it somewhat challenging to excise, as the mental nerve exits in close proximity. You may wish to observe for couple weeks and compare its appearance to current one before making any surgical decisions. Might or might not be related to LA injection if infiltration was done in this area.
MJFDDS
11/15/2017
What kind of injection did you give? Mental? If so, possibly just a hematoma.
Kevin Frawley DDS
11/15/2017
Almost sure it is a hematoma. I definitely would wait and see if it resolves. Even if it remains, if there are no sx, I would just monitor.
Northwest oral surgery
11/15/2017
It is a hematoma from the injection. Will be gone when the patient returns.
Dr. Herman Comlekci
11/15/2017
Most likely a Hematoma, it's quite common with infiltration anaesthesia. I see it almost daily. Should disappear within a week. If you're concerned , definitely follow it up.
Dr. Rayment
11/16/2017
On a different note, how many people use anesthesia when seating an implant crown? Please don't take this as being critical of the current post, but I am just curious of what others do. I almost never use anesthesia?
MJFDDS
11/16/2017
Depends. Tissue level most likely not. Bone level screw retained depending on depth I sometimes do.
Leal
11/16/2017
One should not use anaesthesia while seating a crown. My opinion is that the crown should make pressure in the tissue but not too much to the point of having to need anaesthesia (this is obviously subjective as some patients have a narrow pain threshold). If you use anaesthesia you should grab the 15-c blade and do a couple of vertical very small incisions where the pressure points are, just like when using Bicon implants.
Bülent Zeytinoğlu
11/16/2017
I think the lesion is not a complication of anesthesia.before doing any prosthetic application please watch the lesion for at least a month I think the lesion most probably is an hemangiom and has to be treated surgically before ev ery thing .Goo Luck
Ahmed
11/16/2017
Impression was done without anesthesia and seating crowns done without anesthesia , injection was in July when tooth extracted and 3 implants placed. Noticed that swelling during impression didn't change in size 2 weeka later setaed the restoration and will follow up. Thanks all for feedback
