{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T14:49:08Z","timestamp":1775486948502,"version":"3.50.1"},"reference-count":32,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T00:00:00Z","timestamp":1747612800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dentistry Journal"],"abstract":"<jats:p>Background\/Objectives: Vascular anomalies represent a complex group of conditions including vascular malformations and haemangiomas. Haemangiomas are benign tumours that have an endothelial origin. In contrast, vascular malformations are characterized by the abnormal dilation of vessels without proliferation. Depending on the extension of the disease, there is a higher risk of life-threatening haemorrhages that may occur during simple dental procedures. The aim of this case report is to present the interdisciplinary treatment for patients with venous malformation and to discuss the possible dental management of these patients. Methods: A 66-year-old male patient with an extensive venous malformation of the head and neck was referred for a tooth extraction. The venous malformation involved lips, buccal mucosa, tongue, and floor of the oral cavity. Its proximity to the tooth requiring extraction was associated with a high risk of severe bleeding. Results: Prior to the treatment, CBCT and CT scans were performed to confirm the extensions of the lesion and visualise its margins. Considering the possible risks related with venous malformation, the procedure consisted of tooth removal in a hospital setting with control over severe bleeding complications. Conclusions: The presence of an extensive vascular malformation in the head and neck region is burdened with a higher risk of haemorrhages during simple dental procedures. The radiological and clinical planning enables the choice of an accurate treatment strategy to avoid possible difficulties. In cases where such complications cannot be avoided, it is important to perform the treatment in a hospital setting with the cooperation of maxillofacial surgeons.<\/jats:p>","DOI":"10.3390\/dj13050217","type":"journal-article","created":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T07:34:03Z","timestamp":1747640043000},"page":"217","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Extremely Extensive Vascular Malformation Requires Special Preparation for Simple Dental Surgical Procedures\u2014Case Report"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0099-8150","authenticated-orcid":false,"given":"Natalia","family":"Muczkowska","sequence":"first","affiliation":[{"name":"Department of Oral Surgery, Medical University of Warsaw, 02-097 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaudia","family":"Mas\u0142owska","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery, Medical University of Warsaw, 02-097 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1142-8363","authenticated-orcid":false,"given":"Agnieszka","family":"Adamska","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery, Medical University of Warsaw, 02-097 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,5,19]]},"reference":[{"key":"ref_1","unstructured":"(2025, May 09). ISSVA Classification of Vascular Anomalies. \u00a92025 International Society for the Study of Vascular Anomalies. Available online: https:\/\/www.issva.org\/classification."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Kunimoto, K., Yamamoto, Y., and Jinnin, M. (2022). ISSVA Classification of Vascular Anomalies and Molecular Biology. Int. J. Mol. Sci., 23.","DOI":"10.3390\/ijms23042358"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1055\/s-0034-1376263","article-title":"Vascular malformations: A review","volume":"28","author":"Cox","year":"2014","journal-title":"Semin. Plast. Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1016\/j.jormas.2020.12.010","article-title":"Management of vascular malformations in the Oral and maxillofacial region: A systematic review","volume":"122","author":"Ramakrishnan","year":"2021","journal-title":"J. Stomatol. Oral Maxillofac. Surg."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Kizmazoglu, D., Ince, D., Olgun, Y., Cecen, E., Guleryuz, H., Erdag, T., and Olgun, N. (2024). Infantile Hemangiomas of the Head and Neck: A Single-Center Experience. Children, 11.","DOI":"10.20944\/preprints202401.2048.v1"},{"key":"ref_6","first-page":"307","article-title":"Hemangiomas and vascular malformations of the head and neck: MR characterization","volume":"14","author":"Baker","year":"1993","journal-title":"AJNR Am. J. Neuroradiol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s12663-017-1063-2","article-title":"Vascular Anomalies of the Head and Neck Region","volume":"17","author":"Nair","year":"2018","journal-title":"J. Maxillofac. Oral Surg."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1016\/j.ejrad.2010.04.009","article-title":"Current concepts in the classification, diagnosis and treatment of vascular anomalies","volume":"75","author":"Ernemann","year":"2010","journal-title":"Eur. J. Radiol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1097\/00006534-200208000-00032","article-title":"Vascular Anomalies: Hemangiomas","volume":"110","author":"Gampper","year":"2002","journal-title":"Plast. Reconstr. Surg."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"2357","DOI":"10.1172\/JCI117241","article-title":"Cellular markers that distinguish the phases of hemangioma during infancy and childhood","volume":"93","author":"Takahashi","year":"1994","journal-title":"J. Clin. Investig."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1055\/s-0034-1376262","article-title":"Vascular malformations: Approach by an interventional radiologist","volume":"28","author":"Pimpalwar","year":"2014","journal-title":"Semin. Plast. Surg."},{"key":"ref_12","first-page":"Doc02","article-title":"Extracranial vascular malformations (hemangiomas and vascular malformations) in children and adolescents\u2014Diagnosis, clinic, and therapy","volume":"13","author":"Eivazi","year":"2014","journal-title":"GMS Curr. Top. Otorhinolaryngol. Head Neck Surg."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1784","DOI":"10.1016\/j.jpedsurg.2011.05.006","article-title":"Vascular anomalies in 5621 patients: Guidelines for referral","volume":"46","author":"Greene","year":"2011","journal-title":"J. Pediatr. Surg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1016\/j.bjoms.2016.02.031","article-title":"Infantile haemangiomas of the head and neck: Current concepts in management","volume":"54","author":"Fowell","year":"2016","journal-title":"Br. J. Oral Maxillofac. Surg."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"597","DOI":"10.2214\/ajr.174.3.1740597","article-title":"Vascular malformations and hemangiomas: A practical approach in a multidisciplinary clinic","volume":"174","author":"Donnelly","year":"2000","journal-title":"AJR Am. J. Roentgenol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1016\/j.bjoms.2016.01.034","article-title":"Arteriovenous malformations of the head and neck: Current concepts in management","volume":"54","author":"Fowell","year":"2016","journal-title":"Br. J. Oral Maxillofac. Surg."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.ejro.2017.05.001","article-title":"Interdisciplinary Management of Head and Neck Vascular Anomalies: Clinical Presentation, Diagnostic Findings and Minimalinvasive Therapies","volume":"4","author":"Sadick","year":"2017","journal-title":"Eur. J. Radiol. Open"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1186\/s13005-023-00376-z","article-title":"A 16-year retrospective study of vascular anomalies in the head and neck region","volume":"19","author":"Leyman","year":"2023","journal-title":"Head Face Med."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1007\/s004050100318","article-title":"Current concepts in the classification, diagnosis and treatment of hemangiomas and vascular malformations of the head and neck","volume":"258","author":"Werner","year":"2001","journal-title":"Eur. Arch. Otorhinolaryngol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/S1079-2104(03)00098-2","article-title":"Intraoral venous malformation presenting with multiple phleboliths","volume":"96","author":"Scolozzi","year":"2003","journal-title":"Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"475","DOI":"10.17219\/acem\/37149","article-title":"Epidemiology, diagnostics and treatment of vascular tumours and malformations","volume":"23","year":"2014","journal-title":"Adv. Clin. Exp. Med."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1001\/archfaci.2011.795","article-title":"Current knowledge and management of vascular anomalies, II: Malformations","volume":"13","author":"Hochman","year":"2011","journal-title":"Arch. Facial Plast. Surg."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1111\/j.1601-0825.2010.01661.x","article-title":"Diagnosis and management of hemangiomas and vascular malformations of the head and neck","volume":"16","author":"Buckmiller","year":"2010","journal-title":"Oral Dis."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"13","DOI":"10.4103\/2156-7514.124058","article-title":"Multiple venous malformations with phleboliths: Radiological-pathological correlation","volume":"3","author":"Chava","year":"2013","journal-title":"J. Clin. Imaging Sci."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"2483","DOI":"10.1007\/s00330-002-1773-8","article-title":"Classification and imaging of vascular malformations in children","volume":"13","author":"Abernethy","year":"2003","journal-title":"Eur. Radiol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1007\/s002470050718","article-title":"Imaging and therapeutic approach of hemangiomas and vascular malformations in the pediatric age group","volume":"29","author":"Dubois","year":"1999","journal-title":"Pediatr. Radiol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/j.ajoms.2012.03.009","article-title":"Vascular anomalies in maxillofacial region\u2014Review","volume":"24","author":"Sham","year":"2012","journal-title":"J. Oral Maxillofac. Surg. Med. Pathol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1111\/jop.13324","article-title":"Medical management of vascular anomalies of the head and neck","volume":"51","year":"2022","journal-title":"J. Oral Pathol. Med."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"e236983","DOI":"10.1136\/bcr-2020-236983","article-title":"Uncontrolled bleeding during tooth extraction from an undiagnosed arteriovenous malformation","volume":"14","author":"Nilesh","year":"2021","journal-title":"BMJ Case Rep."},{"key":"ref_30","first-page":"e031","article-title":"Assessing the Dental and Oral Health Needs at Vascular Anomalies Centers Across the United States","volume":"3","author":"Mitra","year":"2022","journal-title":"J. Vasc. Anom."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1007\/s10006-014-0448-3","article-title":"Life-threatening bleeding after tooth extraction due to vascular malformation: A case report and literature review","volume":"18","author":"Kriwalsky","year":"2014","journal-title":"Oral Maxillofac. Surg."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1109","DOI":"10.1111\/apa.13076","article-title":"An interdisciplinary specialist team leads to improved diagnostics and treatment for paediatric patients with vascular anomalies","volume":"104","author":"Mattila","year":"2015","journal-title":"Acta Paediatr."}],"container-title":["Dentistry Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2304-6767\/13\/5\/217\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T17:35:08Z","timestamp":1760031308000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2304-6767\/13\/5\/217"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,19]]},"references-count":32,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2025,5]]}},"alternative-id":["dj13050217"],"URL":"https:\/\/doi.org\/10.3390\/dj13050217","relation":{},"ISSN":["2304-6767"],"issn-type":[{"value":"2304-6767","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,19]]}}}