OBJECTIVES: Life-threatening bleeding may occur during implant placement. PURPOSE: The present review was conducted to evaluate the localization, the symptoms, and therapies of life-threatening bleedings associated with implant placement. MATERIAL AND METHODS: A literature review including 590 articles was performed in PubMed, Medline, and Cochrane database. Any article reporting on life-threatening bleeding was included which additionally reported on the site of implant surgery. RESULTS: Twenty-seven cases were extracted. In the majority of the cases, bleeding occurred in the anterior interforaminal region. Aside local management stopping the bleedings, most cases required intubation or tracheotomy. CONCLUSIONS: Surgeons must be aware of the risk of severe bleedings during implant surgery and should immediately refer patients to a specialized clinic in suspicious or proved cases.
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