Subcutaneous Craniofacial Emphysema Following Endodontic Treatment: Case Report with Literature Review

Subcutaneous emphysema is a well-known and recognized complication in oral surgery, due to high pressure rotating instrument use, mostly related to impacted tooth surgery. Although root canal treatment in endodontic therapy is considered as a safe and standard procedure, affected by a low incidence...

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Bibliographic Details
Published inOral (Basel, Switzerland) Vol. 1; no. 2; pp. 153 - 158
Main Authors D’Agostino, Silvia, Dolci, Marco
Format Journal Article
LanguageEnglish
Published Palermo MDPI AG 01.06.2021
Subjects
Antibiotics
Case reports
Dentistry
Dentists
Emphysema
Endodontics
Informed consent
intraoperative complication
Literature reviews
subcutaneous emphysema
Teeth
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Summary:Subcutaneous emphysema is a well-known and recognized complication in oral surgery, due to high pressure rotating instrument use, mostly related to impacted tooth surgery. Although root canal treatment in endodontic therapy is considered as a safe and standard procedure, affected by a low incidence of complication, subcutaneous emphysema due to the choice of mechanical tools or as a consequence of the use of air stream to dry the operating field should be considered as a potential cause. The air can spread through soft tissue from the apex or from an iatrogenic root perforation, suddenly leading to this unusual complication. It is very important for a dental practitioner to promptly identify the adverse event and to know how to manage this situation. We report a case of a 57-year-old woman with immediate subcutaneous cervicofacial emphysema after root canal therapy of the right inferior second premolar and its management. A brief review of the literature is also displayed.
ISSN:2673-6373
2673-6373
DOI:10.3390/oral1020015