scholarly journals Management of Air Emphysema with Cyanosis Following Dental Treatment - A Case Report with Scientific Reasoning

2021 ◽  
Vol 10 (37) ◽  
pp. 3306-3309
Author(s):  
Nafeesa Tabassum ◽  
Fatema Akhter ◽  
Ghada Alfirm ◽  
Yara Alhumaidan ◽  
Tahsinul Haque
Keyword(s):  
Case Report ◽  
Subcutaneous Emphysema ◽  
Scientific Reasoning ◽  
High Speed ◽  
Dental Treatment ◽  
Third Molar ◽  
Dental Procedures ◽  
Surgical Extraction ◽  
Hand Piece ◽  
Maxillary Molar

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.

scholarly journals Extensive subcutaneous emphysema after exodonty of molar third parties: Case report

2021 ◽  
Vol 10 (4) ◽  
pp. e37310414311
Author(s):  
Aída Juliane Ferreira dos Santos ◽  
Carolina Chaves Gama Aires ◽  
Eugênia Leal de Figueiredo ◽  
Belmiro Cavalcanti do Egito Vasconcelos
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Subcutaneous Emphysema ◽  
High Speed ◽  
Pain Treatment ◽  
Correct Diagnosis ◽  
Maxillofacial Surgery ◽  
Third Molar ◽  
Oral And Maxillofacial Surgery ◽  
Air Jet

Introduction: Subcutaneous emphysema is an accident where the forced introduction of air into the tissues occurs, which in dentistry can appear after the use of a high-speed pen or triple syringe. The swelling associated with emphysema can be mistaken for bruising, allergies or infections. The differential diagnosis is often related to the presence of crackles on palpation, associated or not, with pain. Treatment is prophylactic and palliative, since the problem tends to resolve spontaneously. Objective: To report a clinical case of subcutaneous emphysema and extraction of third molars, discussing the importance of differential diagnosis to guide the treatment of this complication. Case report: A 22-year-old female patient attended the oral and maxillofacial surgery service of a public hospital in Recife-PE, complaining of pain in the lower left third molar region. During the surgical procedure, it was necessary to use a high-speed pen to perform osteotomy and odontosection of tooth 38. At the end of the surgery, there was an increase in volume in the left periorbital region, compatible with subcutaneous emphysema. After 7 days postoperatively, spontaneous resolution of emphysema was observed. Discussion: According to the current literature, after the emphysema is already under a dermal layer, the air may remain at the surgery site or continue to spread along the facial spaces, depending on the permanence of the air jet. Conclusion: The correct diagnosis of subcutaneous emphysema was effective in ruling out other complications, guiding the management of the reported case, in addition to preventing the emphysema from evolving to an infection involving the cervicofacial or thoracic region.

scholarly journals Prevention of Periodontal Pocket Formation after Mandibular Third Molar Extraction Using Dentin Autologous Graft: A Split Mouth Case Report

2020 ◽  
Vol 2020 ◽  
pp. 1-7 ◽  
Author(s):  
Alberto De Biase ◽  
Giulia Mazzucchi ◽  
Dario Di Nardo ◽  
Marco Lollobrigida ◽  
Giorgio Serafini ◽  
...  
Keyword(s):  
Case Report ◽  
Third Molar ◽  
Periodontal Pocket ◽  
Pocket Depth ◽  
Second Molar ◽  
The Third ◽  
Third Molar Extraction ◽  
Probing Pocket Depth ◽  
Surgical Extraction ◽  
A Minor

Surgical extraction of the third molar can often result in the development of a periodontal pocket distal to the second molar that could delay the healing, and the socket could be colonized by bacteria and lead to secondary abscesses, or it may cause mobility or hypersensitivity. The aim of this case report is to assess the efficacy of a dentin autograft in the prevention of periodontal dehiscences after the surgical extraction of the third molar, obtained by the immediate grinding of the extracted tooth. A healthy 18-year-old male patient underwent surgery of both impacted mandibular molars: right postextractive socket was filled with grinded dentin; then, the left one was filled with fibrin sponge. The patient was followed up for six months, and clinical and radiographic assessment were performed: measurements of plaque index (PI), bleeding on probing (BOP), gingival index (GI), clinical attachment level (CAL), and probing pocket depth (PPD) were done before surgery and repeated at 90 and 180 days after the extractions. Measurements made at six months after the surgery revealed that the grafted site was characterized by a minor depth of the pocket if compared with the nongrafted site, with no clinical/radiographic signs of complications.

scholarly journals Endoscopic retrieval of an accidentally ingested bur during a dental procedure: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Keerthana Kunaparaju ◽  
Karthik Shetty ◽  
Vinod Jathanna ◽  
Kartik Nath ◽  
Roma M
Keyword(s):  
Case Report ◽  
Ethical Issues ◽  
Early Recognition ◽  
X Rays ◽  
Dental Procedure ◽  
Dental Procedures ◽  
Hand Piece ◽  
Physical Barriers ◽  
Medical Emergencies ◽  
Precautionary Measures

Abstract Background Accidental ingestion of a dental bur during the dental procedure is a rare, but a potentially serious complication. Early recognition and foreign body retrieval is essential to prevent adverse patient outcomes. Case presentation A 76-year old male patient, presented to the department with a chief complaint of sensitivity in his upper right back tooth due to attrition. After assessing the pulp status, root canal therapy was planned for the tooth. During the procedure, it was noticed that the dental bur slipped out of the hand piece and the patient had accidentally ingested it. The patient was conscious and had no trouble while breathing at the time of ingestion of the bur although he had mild cough which lasted for a short duration. The dental procedure was aborted immediately and the patient was taken to the hospital for emergency care. The presence and location of the dental bur was confirmed using chest and abdominal x-rays and it was subsequently retrieved by esophagogastroduodenoscopy (EGD) procedure under general anaesthesia on the same day as a part of the emergency procedure. The analysis of this case reaffirms the importance of the use of physical barriers such as rubber dams and gauze screens as precautionary measures to prevent such incidents from occurring. Conclusion Ingestion of instruments are uncertain and hazardous complications to encounter during a dental procedure. The need for physical barrier like rubber dam is mandatory for all dental procedures. However, the dentist should be well trained to handle such medical emergencies and reassure the patient by taking them into confidence. Each incident encountered should be thoroughly documented to supply adequate guidance for treatment aspects. This would fulfil the professional responsibilities of the dentist/ clinician and may help avoid possible legal and ethical issues. This case report emphasizes on the need for the usage of physical barriers during dental procedures in order to avoid medical emergencies.

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 ◽  
...  
Keyword(s):  
Subcutaneous Emphysema ◽  
High Speed ◽  
Dental Treatment ◽  
Treatment Procedure

Subcutaneous emphysema after dental treatment: a case report

2006 ◽  
Vol 16 (3) ◽  
pp. 314-317 ◽  
Author(s):  
ADNAN TORGAY ◽  
ERDINC AYDIN ◽  
ULKEM CILASUN ◽  
LALE DURMAZ ◽  
GULNAZ ARSLAN
Keyword(s):  
Case Report ◽  
Subcutaneous Emphysema ◽  
Dental Treatment

scholarly journals Subcutaneous emphysema during third molar surgery: a case report

2011 ◽  
Vol 22 (1) ◽  
pp. 83-86 ◽  
Author(s):  
Umberto Romeo ◽  
Alexandros Galanakis ◽  
Francesco Lerario ◽  
Gabriele Maria Daniele ◽  
Gianluca Tenore ◽  
...  
Keyword(s):  
Subcutaneous Emphysema ◽  
High Speed ◽  
Soft Tissues ◽  
Oral Surgery ◽  
Surgical Complication ◽  
Third Molar ◽  
Daily Basis ◽  
Third Molar Surgery ◽  
Endodontically Treated Teeth ◽  
Third Molar Extraction

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.

scholarly journals Extensive Subcutaneous Emphysema After Extraction of a Mandibular Third Molar: A Case Report

2009 ◽  
Vol 25 (10) ◽  
pp. 562-566 ◽  
Author(s):  
Jung-Chang Kung ◽  
Fu-Hsiung Chuang ◽  
Kun-Jung Hsu ◽  
Yi-Lun Shih ◽  
Chun-Min Chen ◽  
...  
Keyword(s):  
Case Report ◽  
Subcutaneous Emphysema ◽  
Third Molar ◽  
Mandibular Third Molar

scholarly journals Central and peripheral nervous complications of dental treatment

1995 ◽  
Vol 53 (3a) ◽  
pp. 513-517 ◽  
Author(s):  
Eva Olovsson Rossitti
Keyword(s):  
Nerve Injury ◽  
Dental Treatment ◽  
Third Molar ◽  
Optic Nerve Injury ◽  
Third Molar Extraction ◽  
Pain Syndromes ◽  
Dental Procedures ◽  
Mandibular Third Molar ◽  
Hazardous Procedure ◽  
Chronic Pain Syndromes

This review outlines the complications involving the central or peripheral nervous system arising from dental procedures reported in the last decade. By far the commonest complications were related to intraoperative mechanical peripheral nerve injury. Trauma to branches of the mandibular nerve occuring during oral operations may potentially result in varying degrees of hypoesthesia, paresthesia, dysesthesia or in chronic pain syndromes. An increase in malpractice suits related to such a complication has been recognized in the late years. A warning of the possibility of occurrence of this complication should to be given to all patients undergoing risky procedures as part of the process of obtaining informed consent to operation. Mandibular third molar extraction seems to be alone the most hazardous procedure related to mechanical nerve injuries and also with anesthesiological accidents. Severe but rather infrequent infectious (meningitis, brain abscess and cavernous sinus thrombophlebitis) and anesthesiological complications (occular and facial palsies, optic nerve injury and complications related to general anesthesia) were also reported in this period.

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