Periorbital emphysema during dental treatment: a case report

Uyanık, Lokman Onur; Aydın, Melek; Buhara, Oğuz; Ayalı, Aysa; Kalender, Atakan

doi:10.1016/j.tripleo.2011.05.036

Cited by 15 publications

(14 citation statements)

References 12 publications

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“…Earlier narrative reviews have addressed SCE occurring during dental treatment in general (Shovelton , Heyman & Babayof , McKenzie & Rosenberg ) but only one review has focused specifically on SCE occurring in relation to root canal treatment (Battrum & Gutmann ) and several additional case reports have been published since then (Bekiroglu & Rout , Hülsmann & Hahn , Sujeet & Shankar , Uyanık et al . , An et al . , Chang & Lien ).…”

Section: Introductionmentioning

confidence: 99%

Subcutaneous emphysema in patients undergoing root canal treatment: a systematic review of the factors affecting its development and management

2019

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Background Subcutaneous emphysema is an infrequent mishap during root canal treatment which, in rare cases, can lead to severe complications. Aim To systematically review the literature on the factors affecting the development of subcutaneous emphysema during root canal treatment, and on its management. Data sources An electronic search was conducted in EMBASE (1947–2018), LILACS (1982–2018), PubMed (1950–2018), SciELO (1997–2018), Scopus (1970–2018), Web of Science (1900–2018) and two grey literature databases. Moreover, all issues of nine journals and four endodontic textbooks were hand‐searched. Study eligibility criteria, participants, interventions The retrieved studies were screened by two reviewers to select clinical studies, case reports or case series describing subcutaneous emphysema that developed during or immediately after root canal treatment in adult patients. Study appraisal and synthesis methods Included studies were critically appraised according to a custom list of quality requirements. The extracted data were arranged in tables, and combined through a narrative synthesis. Results The search retrieved 99 unique articles. Thirty six case reports and 15 case series describing a total of 65 cases of subcutaneous emphysema were included in this review. The methodological quality was medium. Reported cases of emphysema more often involved females and maxillary teeth. Drying of the root canal system with air under pressure, inadvertent extrusion of hydrogen peroxide through the apical foramen, the air‐water spray produced by handpieces or laser devices, and the use of ozone gas were the most commonly suspected causes. Its management involved prescription of antibiotics and NSAIDs/analgesics, local application of ice packs or compresses and hospitalization. The signs and symptoms resolved completely within 1‐17 days. Limitations Case reports and case series are a low level of evidence. Conclusions and implications of key findings Subcutaneous emphysema can develop during both nonsurgical and surgical root canal treatment. Pressurized air streams or air‐water sprays should not be directed towards the root canals or areas with mucosal discontinuity. None of the management approaches were clearly related to expedited recovery. Guidelines should be developed in order to avoid unnecessary or potentially harmful interventions.

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Section: Introductionmentioning

confidence: 99%

Subcutaneous emphysema in patients undergoing root canal treatment: a systematic review of the factors affecting its development and management

2019

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“…8 Hafif hastalar tedavisiz takip edilebilir; ancak solunum sıkıntısı, ciddi ağrı, şişlikte artma ve enfeksiyon şüphesi olduğunda hasta acil servise yönlendirilmelidir. 9,10 Ciddi hastalarda acil tıbbi müdahale gereklidir ve havayolu açıklığının sağlanması en önemli önceliğe sahiptir. 11 Olgumuzda solunum sıkıntısı, ciddi ağrı ve şişlik görülmediğinden tedavi planı olarak olgunun takip edilmesi ve oral olarak (her 8 saatte bir 1 g amoksisilin) antibiyotik uygulanması kararı verilmiştir.…”

Section: Discussionunclassified

Facial Subcutaneous Emphysema and its Treatment After A Failed Tooth Extraction

Güler¹,

Menziletoğlu²,

Işık³

2020

J Tradit Complem Med

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“…resections of root apex), root canal treatment, periodontal treatment (e.g. scaling), restorative dental treatment (Table 1), implantation, tooth preparation for crowns and bridges [1,6,7,[13][14][15].…”

confidence: 99%

“…In dentistry, however, subcutaneous emphysema is most often a consequence of compressed air being forced into the subcutaneous tissues through the intra-oral barrier [5][6][7]. Most often the air comes from the slow handpiece, the turbine and the dental air syringe, although recent reports have surfaced of emphysema being caused by air coming from an air abrasion tool, CO 2 laser or a cryotherapy device [8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Air emphysema after drying the cavity with an air syringe

Marek¹,

Kot²,

Kozłowski³

et al. 2018

jos

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Introduction: Subcutaneous emphysema is defined as the abnormal presence of air or gas in the body tissues or tissue spaces. In dentistry, however, subcutaneous emphysema is most often a consequence of compressed air being forced into the subcutaneous tissues through the intra-oral barrier. Most often the air comes from the slow hand-piece, the turbine and the dental air syringe, although recent reports have surfaced of emphysema being caused by air coming from an air abrasion tool, CO 2 laser or a cryotherapy device. Case description: A case of air emphysema following by drying the cavity with dental syringe. Discussion of prophylactic and treatment of air emphysema. Conclusions: Subcutaneous emphysema is one of the less common complications that may occur during the treatment of carious lesions. It is usually limited to moderate swelling of soft tissues, which due to slow regression becomes an unpleasant complication for the patient. The air that has entered to the subcutaneous tissue carries the risk of causing an infection like cellulitis or necrosis of fascial and therefore requires the use of antibiotic therapy. Although emphysema is a medical complication, often harmless, it should be remembered that there is always a risk of serious consequences requiring specialized treatment. Prompt and appropriate diagnosis enables effective treatment of emphysema.

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Periorbital emphysema during dental treatment: a case report

Cited by 15 publications

References 12 publications

Subcutaneous emphysema in patients undergoing root canal treatment: a systematic review of the factors affecting its development and management

Subcutaneous emphysema in patients undergoing root canal treatment: a systematic review of the factors affecting its development and management

Facial Subcutaneous Emphysema and its Treatment After A Failed Tooth Extraction

Air emphysema after drying the cavity with an air syringe

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