Subcutaneous Emphysema Suddenly after Restorative Dental Treatment: A Case Report
Article Sidebar
Main Article Content
Abstract
Subcutaneous emphysema after dental treatment is a rare complication and spontaneous recovery. However, some reports have found that the consequences were serious and life-threatening complications. In dentistry, it may appear with the use of air-driven handpieces during tooth extraction, tooth separation with a raised mucosal flap, the use of gingival retraction cords, and using air-water syringe push air into the periodontal tissue. Therefore, understanding the pathophysiology of subcutaneous emphysema, early diagnosis, and prompt treatment will be a good prevention of complications. This report presents a rare occurrence of subcutaneous emphysema delivery of a class V dental restoration with a retraction cord in an upper left second molar. The tissue swelling was presented suddenly from the left infraorbital area to the left submandibular area. The expected clinical course, physical examination, diagnostic features, and treatment were discussed for the prevention of a severe complication
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการลงตีพิมพ์ในวิทยาสารทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นถือเป็นลิขสิทธิ์เฉพาะของคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่น หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษร จากคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นก่อนเท่านั้น
References
Santos L. Subcutaneous emphysema: dental causes and management. Oralhealth 2022. [cited 2023 Sep 23]. Available from:http://www.oralhealthgroup.com/ features/ subcutaneous-emphysema-dental-causes-and-mangement/
Lee SW, Huh YH, and Cha MS. Iatrogenic subcutaneous cervicofacial emphysema with pneumomediastinum after class V restoration. J Korean Assoc Oral Maxillofac Surg 2017;43(1):49-52.
Shimizu R, Sukegawa S, Sukegawa Y, Hasegawa K, Ono S, Fujimura A, et al. Subcutaneous emphysema related to dental treatment: a case series. Healthcare 2022;10:290.
Chiou BJ, Chou SJ , Yu Ho DC and Fang CY. Extraction with an electric motor-driven handpiece may still cause subcutaneous emphysema- a case report. J Dent Sci 2021;16(3):1033-34.
Rawlinson RD, Negmadjanov U, Rubay D, Ohanisian L and Waxman J. Pneumomediastinum after dental filling: a rare case presentation. Cureus 2019;11(9);e5593.
Mishra L, Patnaik S, Patro S, Debnath N and Mishra S. Iatrogenic subcutaneous emphysema of endodontic origin – case report with literature review. J Clin Diagn Res 2014;8(1):279-81.
Patel N, Lazow SK and Berger J. Cevicofacial subcutaneous emphysema: case report and review literature. J Oral Maxillofac Surg 2010;68(8):1976-82.
Jones A, Stagnell S, Renton T, Aggarwal V and Moore R. Causes of subcutaneous emphysema following dental procedures: a systematic review of cases 1993-2020. Br Dent J 2021;231(8):493-500.
Heyman SN and Babayof I. Emphysematous complications in dentistry, 1960 – 1993: an illustrative case and review of the literatue. Quintessence int 1995;26(8):535-43.
Mascarenhas RJ. Management of subcutaneous facial emphysema secondary to a class V dental restoration. Clin Case Rep 2019;7(5):1025-30.
Mitsunaga S, Iwai T, Kitajima H, Yajima Y, Ohya T, Hirota M, et al. Cervicofacial subcutaneous emphysema associated with dental laser treatment. Aust Dent J 2013;58(4):424-27.
Imai T, Michizawa M, Arimoto E, Kimoto M and Yura Y. Cervicofacial subcutaneous emphysema and pneumomediastinum after intraoral laser irradiation. J Oral Maxillofac Surg 2009;67(2):428-30.
Farina R, Zaetta A, Minenna L and Trombelli L. Orbital and periorbital emphysema following maxillary sinus floor elevation: a case report and literature review. J Oral Maxillofac Surg 2016;74(11):2192 e1 – 2192 e7.
Fernandez H, Gomez-Delgado A, Trujillo-Saldarriaga S, Varon-Cardona D and Castro-Nunez J. Zygomatic implants for the management of the severely atrophied maxilla: a retrospective analysis of 244 implants. J Oral Maxillofac Surg 2014;72(5):887-91.
Sakakibara A, Suzuki H, Yamashita A, Hasegawa T, Minamikawa T, Furudoi S, et al. Facial emphysema after sinus lift. J Surg case Rep 2015;6:1-4.
Bilecenoglu B, Onul M, Altay OT and Sakul BU. Cervicofacial emphysema after dental treatment with emphasis on the anatomy of the cervical fascia. J Craniofac Surg 2012;23(6):544-8.
Reichel-Fischel O and Helfrick J. Intraoperative life-threatening emphysema associated with endotracheal intubation and air insufflation devices: report of two cases. J Oral Maixllofac Surg 1995;53(9):1103-7.
Monaca GL, Pranno N, Annibali S, Vozza I and Cristalli MP. Subcutaneous fascial emphysema following open – flap air – powder abrasive debridement for peri-implantitis: a case report and an overview. Int J Environ Res Public Health 2021;18(24):13286.
Nittaya Suttikul. Angioedema: symptom cause and treatment 2023 [cited 2023 Sep 05] Available from http://ihealzy.com/angioedema-0583/
Malamed S. Handbook of local anesthesia, 5th ed. St. Louis, MO :Elsevier health sciences; 2014.
Mascarenhas RJ. Management of subcutaneous fascial emphysema secondary to a class V dental restoration. Clin case rep 2019;7:1025-30.
Alonso V, Garcia-Caballero L, Couto I, Diniz M, Diz P and Limeres J. Subcutaneous emphysema related to air-powder tooth polishing: a report of three cases. Aust Dent J 2017;62(4):510-15.
Tan S, Nikolarakos D. Subcutaneous emphysema secondary to dental extraction: a case report. Aust Dent J 2017;62(1):95-97.
Chien P. Iatrogenic subcutaneous fascial emphysema secondary to a class V dental restoration: a case report. Aust Dent J 2019;64(1):43-46.