Subcutaneous emphysema after dental stain removal with airflow: a case report and anatomical review
Subcutaneous emphysema occurs when air is forced under the subcutaneous soft tissue, causing fascial dissection of the affected area. Cases of subcutaneous emphysema are rare; therefore dentists are not aware of this risk during dental procedures. In this case, a 19-year old woman came to the den...
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| Main Authors: | , , |
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| Format: | Book Chapter |
| Language: | English |
| Published: |
CRC Press, Taylor & Francis Group
2024
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/111200/5/111200_Subcutaneous%20emphysema%20after%20dental%20stain%20removal.pdf http://irep.iium.edu.my/111200/ https://www.taylorfrancis.com/books/edit/10.1201/9781003402374/quality-improvement-dental-medical-knowledge-research-skills-ethics-facing-global-challenges-armelia-sari-widyarman-muhammad-ihsan-rizal-moehammad-orliando-roeslan-carolina-damayanti-marpaung |
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| Institution: | Universiti Islam Antarabangsa Malaysia |
| Language: | English |
| Summary: | Subcutaneous emphysema occurs when air is forced under the subcutaneous soft tissue,
causing fascial dissection of the affected area. Cases of subcutaneous emphysema are rare;
therefore dentists are not aware of this risk during dental procedures. In this case, a 19-year
old woman came to the dental clinic for the purpose of cleaning tartar and stains. The initial
diagnosis was gingivitis. Scaling was performed using an ultra-sonic scaler and stain removal
was performed using dental airflow method. When the operator performed airflow in the
buccal area of teeth #16 and 17, extra-oral facial swellings suddenly occurred and the
treatment procedure was stopped immediately. The patient’s face appeared asymmetrical,
swelling occurred in the cheek area extending to the orbital so that the anatomical landmarks
of the right face were lost. Palpation showed crepitus, but the patient felt no pain. Based on
clinical examination, the case was diagnosed as subcutaneous emphysema. The treatment
given was administration of 500 mg of the intra oral antibiotic amoxicillin 3 times a day for 5
days and warm water compresses. On the 2 nd day, the face remained asymmetrical and
crepitus was still present. On the 3 rd day, the patient's face was symmetrical, there was no
crepitus; and on the 7 th day of examination, patient showed normal clinical appearance. In
conclusion, various dental procedures using high pressure air have the potential to cause
subcutaneous emphysema. The focus of treatment in this case is to avoid secondary infection
by administration of antibiotics. |
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