Background: Pneumomediastinum and subcutaneous emphysema are a rare and well-known complication of dental procedures. Many cases go unrecognized and resolve spontaneously, while others may require specific therapeutic management to prevent complications. Case Presentations: We report a case of cervical subcutaneous emphysema and pneumomediasitnum occurring after extraction of lower right second molar. The emphysema was detected 2 hours after dental surgery. This paper reports on the diagnosis and treatment of subcutaneous emphysema and pneumomediastinum. Conclusion: In order to prevent this complication, air turbine high speed drills should be used only in necessary cases.
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