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 in:Oral (Basel, Switzerland) Switzerland), 2021-06, Vol.1 (2), p.153-158
Main Authors: D’Agostino, Silvia, Dolci, Marco
Format: Article
Language:English
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