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[Dizziness and nausea following implant placement]
J W Verhoeven1, N M Timmenga, M S Cune
1Vakgroep Mondziekten, Kaak- en Aangezichtschirurgie en Bijzondere Tandheelkunde, Universitair Medisch Centrum Utrecht. j.w.verhoeven@umcutrecht.nl
Nederlands Tijdschrift Voor Tandheelkunde
|December 15, 2012
Summary
Dizziness and nausea after maxillary implants may indicate traumatic labyrinthine concussion. Using a screw-type bone spreader instead of a surgical hammer can prevent this rare complication.
Area of Science:
- Otolaryngology
- Oral and Maxillofacial Surgery
- Neurology
Background:
- Maxillary dental implant placement involves surgical procedures that can potentially affect inner ear structures.
- The use of implant drills and osteotomes during surgery necessitates careful technique to avoid complications.
Observation:
- A patient experienced dizziness and nausea immediately following the placement of four dental implants in the maxilla.
- These symptoms gradually resolved over a six-month period post-surgery.
Findings:
- The patient's presentation is consistent with traumatic labyrinthine concussion, a rare but potentially debilitating complication.
- The use of forceful techniques, such as a surgical hammer with osteotomes, may contribute to this condition.
Implications:
- Patients undergoing maxillary implant surgery should be informed of the risk of traumatic labyrinthine concussion.
- Employing atraumatic surgical techniques, like using a screw-type bone spreader, can prevent this complication and improve patient outcomes.
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