Persistent hiccup reflex activation as a complication of dental implant surgery: a case report

Abstract

Persistent hiccup can conceal life-threatening clinical conditions of highly heterogeneous nature. Here, we report a case of a persistent hiccup that has been temporally associated with dental implant insertion in a patient with paroxysmal atrial fibrillation. This 67-year-old patient underwent dental implant in area 36 and the procedure was performed without acute complications. A prolonged hiccup started ~48 h after the procedure: it failed to respond to several medications and it lasted for ~18 days, after which it spontaneously disappeared. Brain imaging and neurological examination were conducted in order to rule out organic conditions, even though all the investigations resulted to be negative. We suggest that the surgical procedure might have triggered a prolonged reflex activation. Knowledge about this complication of oral surgery procedure might be useful for avoiding unnecessary hospitalization or diagnostic tests.

Intractable hiccups as a rare gastrointestinal manifestation in severe endocrine and metabolic crisis: case report and review of the literature

“…Intractable hiccups is hiccups lasting more than 48 h. 21 Intractable hiccups may produce significant discomfort and may also represent the clinical manifestation of life-threatening clinical conditions such as lateral medullary lesions, myocardial infarction, respiratory failure and pulmonary embolism. 22 Hiccups are caused by stimulation of the diaphragm, phrenic nerve, vagus nerve, or central nervous system, causing paroxysmal spasm of one or both the diaphragm and intercostal muscle or anterior scalene muscle. 23 Hiccups refers to a short, loud sound accompanied by a sudden closing of the glottis during inhalation.…”

Intractable hiccups as a rare gastrointestinal manifestation in severe endocrine and metabolic crisis: case report and review of the literature

“…Intractable hiccups is hiccups lasting more than 48 h. 21 Intractable hiccups may produce significant discomfort and may also represent the clinical manifestation of life-threatening clinical conditions such as lateral medullary lesions, myocardial infarction, respiratory failure and pulmonary embolism. 22 Hiccups are caused by stimulation of the diaphragm, phrenic nerve, vagus nerve, or central nervous system, causing paroxysmal spasm of one or both the diaphragm and intercostal muscle or anterior scalene muscle. 23 Hiccups refers to a short, loud sound accompanied by a sudden closing of the glottis during inhalation.…”

Treatment of Temporomandibular Disorders of Muscular Origin with a Silicon Oral Device (Alifix®): Electromyographic Analysis

“…2,3,5,9 Pain control as in other dental disciplines can be achieved and controlled with different devices yet described or innovative. [10][11][12][13][14][15][16][17][18][19][20][21] Several studies state that the masticatory musculature of symptomatic patients with temporomandibular disorders (TMD) produces reduced electrical potentials and a less efficient clenching force. Hence, the muscles become more easily subjected to neuromuscular fatigue when compared to the force developed by healthy subjects.…”

Analysis of the efficacy of two kinds of loss restoration of posterior teeth using 3D printing temporary crown during the second phase of implant surgery

“…The restoration of posterior implants is known to be associated with several complications, such as implant rupture, crown loosening, implant fracture, fracture, and screw loosening. [ 1 – 3 ] The traditional methods involving horizontal implant-taking and platform transfer are frequently used in patients with continuous loss of multiple posterior teeth to obtain the final prosthesis after several steps of processing. [ 4 , 5 ] Often, accuracy is affected by errors in the transfer process.…”

Intractable hiccups as a rare gastrointestinal manifestation in severe endocrine and metabolic crisis: case report and review of the literature

“…Intractable hiccups is hiccups lasting more than 48 h. 21 Intractable hiccups may produce significant discomfort and may also represent the clinical manifestation of life-threatening clinical conditions such as lateral medullary lesions, myocardial infarction, respiratory failure and pulmonary embolism. 22 Hiccups are caused by stimulation of the diaphragm, phrenic nerve, vagus nerve, or central nervous system, causing paroxysmal spasm of one or both the diaphragm and intercostal muscle or anterior scalene muscle. 23 Hiccups refers to a short, loud sound accompanied by a sudden closing of the glottis during inhalation.…”

Treatment of Temporomandibular Disorders of Muscular Origin with a Silicon Oral Device (Alifix®): Electromyographic Analysis

“…2,3,5,9 Pain control as in other dental disciplines can be achieved and controlled with different devices yet described or innovative. [10][11][12][13][14][15][16][17][18][19][20][21] Several studies state that the masticatory musculature of symptomatic patients with temporomandibular disorders (TMD) produces reduced electrical potentials and a less efficient clenching force. Hence, the muscles become more easily subjected to neuromuscular fatigue when compared to the force developed by healthy subjects.…”

Analysis of the efficacy of two kinds of loss restoration of posterior teeth using 3D printing temporary crown during the second phase of implant surgery

“…The restoration of posterior implants is known to be associated with several complications, such as implant rupture, crown loosening, implant fracture, fracture, and screw loosening. [ 1 – 3 ] The traditional methods involving horizontal implant-taking and platform transfer are frequently used in patients with continuous loss of multiple posterior teeth to obtain the final prosthesis after several steps of processing. [ 4 , 5 ] Often, accuracy is affected by errors in the transfer process.…”

Intractable hiccups as a rare gastrointestinal manifestation in severe endocrine and metabolic crisis: case report and review of the literature

“…Intractable hiccups is hiccups lasting more than 48 h. 21 Intractable hiccups may produce significant discomfort and may also represent the clinical manifestation of life-threatening clinical conditions such as lateral medullary lesions, myocardial infarction, respiratory failure and pulmonary embolism. 22 Hiccups are caused by stimulation of the diaphragm, phrenic nerve, vagus nerve, or central nervous system, causing paroxysmal spasm of one or both the diaphragm and intercostal muscle or anterior scalene muscle. 23 Hiccups refers to a short, loud sound accompanied by a sudden closing of the glottis during inhalation.…”

Treatment of Temporomandibular Disorders of Muscular Origin with a Silicon Oral Device (Alifix®): Electromyographic Analysis

“…2,3,5,9 Pain control as in other dental disciplines can be achieved and controlled with different devices yet described or innovative. [10][11][12][13][14][15][16][17][18][19][20][21] Several studies state that the masticatory musculature of symptomatic patients with temporomandibular disorders (TMD) produces reduced electrical potentials and a less efficient clenching force. Hence, the muscles become more easily subjected to neuromuscular fatigue when compared to the force developed by healthy subjects.…”

Analysis of the efficacy of two kinds of loss restoration of posterior teeth using 3D printing temporary crown during the second phase of implant surgery

“…The restoration of posterior implants is known to be associated with several complications, such as implant rupture, crown loosening, implant fracture, fracture, and screw loosening. [ 1 – 3 ] The traditional methods involving horizontal implant-taking and platform transfer are frequently used in patients with continuous loss of multiple posterior teeth to obtain the final prosthesis after several steps of processing. [ 4 , 5 ] Often, accuracy is affected by errors in the transfer process.…”