scholarly journals Iatrogenic subcutaneous emphysema and pneumomediastinum following a high-speed air drill dental treatment procedure

2015 ◽  
Vol 2 (4) ◽  
pp. 253-256 ◽  
Author(s):  
Takeshi Nishimura ◽  
Tatsuo Sawai ◽  
Kanenori Kadoi ◽  
Taihei Yamada ◽  
Norichika Yoshie ◽  
...  
2010 ◽  
Vol 9 (1) ◽  
pp. 7
Author(s):  
Fonny Dahong ◽  
Hasmawati Hasan

This paper reports and discusses some cases of subcutaneous emphysema whichoccurred during prolonged dental treatment procedures with high speed instrument,such as dental extraction by splitting tooth, tooth restoration, ultrasonic scaling, andhigh pressure bicarbonate cleansing. A case of emphysema was also reported aftertooth extraction without using high speed instrument. Discussion is also provided thatrelates to clinical findings and the management of subcutaneous emphysema.


2021 ◽  
Vol 10 (37) ◽  
pp. 3306-3309
Author(s):  
Nafeesa Tabassum ◽  
Fatema Akhter ◽  
Ghada Alfirm ◽  
Yara Alhumaidan ◽  
Tahsinul Haque

Air emphysema as a consequence of dental procedures is a rare but dangerous state if not diagnosed and treated timely. It can occur incidentally or iatrogenically in many dental procedures such as restorations, endodontic and periodontal treatments, surgical and non-surgical tooth extraction, and use of air or water sprays and syringes.1-6 Subcutaneous emphysema of dental origin most commonly occurs after surgical extraction of an impacted mandibular third molar.7 Several studies have reported that the use of high speed hand-piece during surgical extraction led to escape of air into the subcutaneous tissues. 7-10 Wilson (1983) reported subcutaneous emphysema in the eyelids after extraction of the maxillary molar teeth due to vigorous irrigation combined with air and water spray for 10 seconds.6 Subcutaneous emphysema in the cheek after extraction of the maxillary third molar without using high speed hand-piece is not a common phenomenon. In the present case, we demonstrate air emphysema in the cheek associated with hematoma after extraction of the impacted right maxillary 3rd molar. Since it was a soft tissue impaction, no hand-piece was used during the tooth removal. The purpose of this case report is to create awareness among the dental surgeons about the simple extraction procedures that may lead to air emphysema associated with hematoma.


2012 ◽  
Vol 2012.9 (0) ◽  
pp. 167-168
Author(s):  
Kei SATO ◽  
Chihiro NISHIKAWA ◽  
Takayuki HAGIWARA ◽  
Keita SHIMADA ◽  
Wataru HORIUCHI ◽  
...  
Keyword(s):  

2019 ◽  
Vol 28 ◽  
pp. 100918
Author(s):  
Mona Vahidi Rad ◽  
Eliza Kwok Ying Chan ◽  
Iqbal Hussein Ahmed

2006 ◽  
Vol 16 (3) ◽  
pp. 314-317 ◽  
Author(s):  
ADNAN TORGAY ◽  
ERDINC AYDIN ◽  
ULKEM CILASUN ◽  
LALE DURMAZ ◽  
GULNAZ ARSLAN

2011 ◽  
Vol 22 (1) ◽  
pp. 83-86 ◽  
Author(s):  
Umberto Romeo ◽  
Alexandros Galanakis ◽  
Francesco Lerario ◽  
Gabriele Maria Daniele ◽  
Gianluca Tenore ◽  
...  

Extraction of third molars is the most common surgical procedure performed in oral surgery on a daily basis and, despite surgical skills and expertise, complications may occur. Complications observed during or after third molar removal may include pain, swelling, bleeding, infection, sinus perforation and nerve damage. Fortunately, with a proper management and a good surgical technique, the incidence of such events is low. Subcutaneous emphysema associated with dental extraction occurs when the air from the high-speed dental handpiece is forced into the soft tissue through the reflected flap and invades the adjacent tissues, leading to swelling, crepitus on palpation and occasionally spreading through the tissue spaces of the fascial planes. Although rare, iatrogenic subcutaneous emphysema can have serious and potentially life-threatening consequences. Care should be taken when using air-driven handpieces. The access of air into the facial tissues is not limited to tooth extractions, but may also occur through other portals of entrance, such as endodontically treated teeth, periodontium and lacerations of intraoral soft tissues. When subcutaneous emphysema occurs, it must be quickly diagnosed and properly managed to reduce the risk of further complications. This report presents a case of subcutaneous emphysema occurred during extraction of a mandibular third molar extraction with the use of an air turbine handpiece. Case management is described and issues relative to the diagnosis and prevention of this surgical complication are discussed.


2021 ◽  
Vol 7 (2) ◽  
pp. 98-101
Author(s):  
Lalita Sheoran ◽  
Monika Sehrawat ◽  
Divya Sharma ◽  
Dania Fatima ◽  
Marikinda Manzoor

During the spread of pandemic disease, dental practice come across the highest risk of corona virus infection by the exposure from patient saliva, aerosols generation during the dental procedure, blood contamination during oral surgical procedure. This virus can be transmitted from symptomatic to asymptomatic individual through aerosol spread, saliva contamination. Due to its ability of airborne transmission, so aerosols generated through natural activity or during the time of any dental treatment procedure has the ability to transmit the virus from infected person to the surrounding person.


2021 ◽  
pp. 1-6
Author(s):  
Kaur Ishdeep ◽  
◽  
Kaur Arshdeep ◽  

Patient safety and health worker safety from infectious diseases as well as occupational hazards is of utmost importance in every field of medicine. Bioaerosols and splatters generated by air syringes, ultrasonic scalers and high-speed turbine handpieces during dental treatment pose a potential hazard of infection not only to the patients but, to the dentists, dental hygienists, dental assistants as well as other healthcare workers. Severe infectious diseases such as Severe Acute Respiratory Syndrome (SARS), influenza, measles, tuberculosis, hepatitis, HIV AIDS can be transmitted through aerosols. With the emergence of β-coronavirus (COVID-19), questions concerning the protection from such viral transmission in dental hospital setting have arisen due to close contact and its transmission through the exposure of saliva, blood and other body fluids. Guidelines from regulatory organizations such as CDC regarding infection control in healthcare settings and infection prevention practices should be strictly followed.A systematic electronic search with relevant key terms viz. Aerosol Management, Dental Aerosols, Dentistry and COVID-19, Dental Unit Waterlines, Preprocedural Mouth rinsing, High Volume Suction Evacuators (HVE) and CDC Guidelines was executed in PubMed and Medline databases for literature extraction and data has been interpreted by including articles based on predefined inclusion criteria .In this review article, we address the importance of understanding and implementation of dental safety by following various systems for management of dental aerosols


Author(s):  
Daniel Bates ◽  
Andrew Bates

Objectives: This study was undertaken to assess the amount of dental aerosol created in a primary care dental surgery. Methods: Two particle meters were placed a set distances round a volunteer patient whilst undergoing simulated dental treatment using a high speed dental handpiece, and 3-in-1 air/water syringe, moisture control was managed with high volume suction and a saliva ejector. Measurement were taken every thirty seconds with the surgery environment set a neutral ventilation and with the windows open plus fan assistance. Results: From the cessation of aerosol generation it took between 6 and 19 minutes for the surgery to return to baseline. The ventilated surgery had faster aerosol dispersal, returning to background levels within 5 minutes. Conclusion: It is concluded for the surgery under investigation the dental aerosol had dissipated after 30 minutes using HVS and optimal surgery.


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