Cervicofacial subcutaneous emphysema associated with dental laser treatment

Mitsunaga, Sachiyo; Iwai, Toshinori; Kitajima, Hiroaki; Yajima, Yasuharu; Ohya, Takashi; Hirota, Makoto; Mitsudo, Kenji; Aoki, Noriaki; Yamashita, Yasunobu; Omura, Susumu; Tohnai, Iwai

doi:10.1111/adj.12119

Cited by 21 publications

(20 citation statements)

References 15 publications

(25 reference statements)

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“…Along with the advantages that the dental laser treatment can bring, a rare complication of subcutaneous emphysema has been reported [25][26][27]. It is known that subcutaneous emphysema may be caused by inappropriate use of the air projection system of dental lasers [27,28].…”

Section: Measurements Of the Temperature Changes In The Bone/implant mentioning

confidence: 99%

“…To achieve satisfactory levels of cooling in this work, we use a rate of 2.5 l/min which reduces significantly the chance of an emphysema. Dental lasers are commonly used for soft tissue surgery where the compressed air may invade through the tissue spaces deep to soft tissue including cervicofacial and mediastinum [25]. Therefore, dentists and oral surgeons should keep in mind that emphysematous complications can be caused by compressed air during dental laser treatment and ensure that they adhere to the proper use of dental lasers to prevent possible complications [25].…”

Section: Measurements Of the Temperature Changes In The Bone/implant mentioning

confidence: 99%

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Temperature evaluation of dental implant surface irradiated with high-power diode laser

et al. 2016

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The prevalence of peri-implantitis and the absence of a standard approach for decontamination of the dental implant surface have led to searches for effective therapies. Since the source of diode lasers is portable, has reduced cost, and does not cause damage to the titanium surface of the implant, high-power diode lasers have been used for this purpose. The effect of laser irradiation on the implants is the elevation of the temperature surface. If this elevation exceeds 47 °C, the bone tissue is irreversibly damaged, so for a safety therapy, the laser parameters should be controlled. In this study, a diode laser of GaAsAl was used to irradiate titanium dental implants, for powers 1.32 to 2.64 W (real) or 2.00 to 4.00 W (nominal), in continuous/pulsed mode DC/AC, with exposure time of 5/10 s, with/without air flow for cooling. The elevation of the temperature was monitored in real time in two positions: cervical and apical. The best results for decontamination using a 968-nm diode laser were obtained for a power of 1.65 and 1.98 W (real) for 10 s, in DC or AC mode, with an air flow of 2.5 l/min. In our perspective in this article, we determine a suggested approach for decontamination of the dental implant surface using a 968-nm diode laser.

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Section: Measurements Of the Temperature Changes In The Bone/implant mentioning

confidence: 99%

Section: Measurements Of the Temperature Changes In The Bone/implant mentioning

confidence: 99%

Temperature evaluation of dental implant surface irradiated with high-power diode laser

et al. 2016

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“…This was an unusual case of surgical emphysema due to its atypical cause from innocuous patient activity. However, iatrogenic causes of surgical emphysema are well-reported in the literature [2][3][4][5][6][7][8][9][10][11] , and the importance of good practice should always be stressed to prevent such cases 5 . General dental practitioners should consider referral to specialist services if they suspect that a tooth extraction may require surgical removal and they are not equipped with suitable surgical drill hand-pieces.…”

Section: Discussionmentioning

confidence: 99%

Child's play – an unforeseen complication of surgical emphysema

et al. 2018

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Surgical emphysema is as an iatrogenic complication whereby air is dispersed within the tissues following an invasive procedure. It is relatively uncommon, however, it has been recognised that dental extractions and the use of air turbine drills can result in this complication. Here, we discuss a case report of a 35-year-old male reattending with extensive surgical emphysema following a seemingly uncomplicated dental extraction, caused by playing with his baby. This case was unusual because no dental air turbine drill was used during the dental extraction, and due to the innocuous patient activity that caused the emphysema. Consideration of the aetiology, prevention and recognition of surgical emphysema are discussed.

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“…The invasion of high-pressured air produced by the use of air-driven, high-speed hand pieces or air-water syringes may cause CSE during dental treatments such as tooth extraction, restorative and endodontic treatments, orthognathic surgery, and maxillary sinus augmentation. 3,5 Periodontal debridement involves conservative cleaning procedure meant to remove deposits of dental plaque, calculus, and stains that have accumulated on the crown and root surfaces of the teeth. It is indicated for patients with periodontal disease.…”

mentioning

confidence: 99%

“…Only a few reports have described CSE associated with air-powder polishing. 5,[8][9][10][11][12][13][14][15][16][17] In this case report, it is aimed to present clinical manifestation and treatment of cervicofacial emphysema and pneumomediastinum developed after the use of air-flow because of the rare occurrence in the literature.…”

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confidence: 99%