Iatrogenic Periorbital Subcutaneous Emphysema after Endodontic Treatment – A Case Report.

Authors

  • C. Shashidhar Department of Conservative Dentistry and Endodontics,SMBT Dental College and Hospital, Sangamner, Maharashtra, India
  • Poonam Narayan Sarda Department of Conservative Dentistry and Endodontics,SMBT Dental College and Hospital, Sangamner, Maharashtra, India
  • Jenish Parmar Department of Conservative Dentistry and Endodontics, SMBT Dental College and Hospital, Sangamner, Maharashtra, India
  • Sayli Patil Department of Conservative Dentistry and Endodontics,SMBT Dental College and Hospital, Sangamner, Maharashtra, India

DOI:

https://doi.org/10.3889/oamjms.2020.4214

Keywords:

emphysema, endodontic mishap, dental emergency, iatrogenic

Abstract

BACKGROUND: Surgical emphysema is well known and many case reports have been published on this. Many authors have reported this as a complication post dentoalveolar treatment. Diffusion of air into facial planes and periorbital area during endodontic procedures has been rarely reported. The use of three-way air syringe and forceful irrigation of root canal can lead to surgical emphysema of subcutaneous tissue planes in and around the teeth which are involved.

CASE REPORT: This case report highlights one such complication seen during endodontic treatment and conservative management of this dental office emergency.

CONCLUSION: Endodontic treatment is not frequently associated with the presence of the SCE. However, it is very important to know how to recognize this situation when occurs, to treat the patient appropriately.

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References

Ingle JI, Bakland LK. Endodontics. 5th ed. London: BC Decker Inc.; 2002. p. 412, 482-9, 525-38, 695, 729, 769, 776-85.

Liatiri S. Subcutaneous emphysema after root canal therapy. Balkan J Stomatol. 2012;16(1):10-5.

Van Tubergen EA, Tindle D, Fox GM. Sudden onset of subcutaneous air emphysema after the application of air to a maxillary premolar located in a nonsurgical field. Oper Dent. 2017;42(5):E134-8. https://doi.org/10.2341/15-155-s PMid:28829930

Yadav RK, Chandra A, Tikku AP, Wadhwani KK, Verma P. Air emphysema-an in office emergency: A case report. Endodontology. 2011;23(2):72-6.

Wright KJ, Derkson GD, Riding KH. Tissue-space emphysema, tissue necrosis, and infection following use of compressed air during pulp therapy: Case report. Pediatr Dent. 1991;13(2):110-3. PMid:1881817

Battrum DE, Gutmann JL. Implications, prevention and management of subcutaneous emphysema during endodontic treatment. Endod Dent Traumatol. 1995;11(3):109-14. https://doi.org/10.1111/j.1600-9657.1995.tb00470.x PMid:7641625

Mishra L, Patnaik S, Patro S, Debnath N, Mishra S. Iatrogenic subcutaneous emphysema of endodontic origin-case report with literature review. J Clin Diagn Res. 2014;8(1):279-81. https://doi.org/10.7860/jcdr/2014/6909.3876 PMid:24596796

Buchbender M, Musazada S, Kreißel S, Schmitt CM. Extensive cervicofacial and mediastinal subcutaneous emphysema after endodontic retreatment of a maxillary canine: A case report. J Oral Maxillofac Radiol. 2017;5(1):14. https://doi.org/10.4103/2321-3841.202456

Smatt Y, Browaeys H, Genay A, Raoul G, Ferri J. Iatrogenic pneumomediastinum and facial emphysema after endodontic treatment. Br J Oral Maxillofac Surg. 2004;42(2):160-2. https://doi.org/10.1016/s0266-4356(03)00240-7

Rubinstein A, Riddell CE, Akram I, Ahmado A, Benjamin L. Orbital emphysema leading to blindness following routine functional endoscopic sinus surgery. Arch Ophthalmol. 2005;123(10):1452. https://doi.org/10.1001/archopht.123.10.1452 PMid:16219746

Salib RJ, Valentine P, Akhtar S. Surgical emphysema following dental treatment. J Laryngol Otol. 1999;113(8):756-8. https://doi.org/10.1017/s0022215100145128

Hayduk S, Bennett CR, Monheim LM. Subcutaneous emphysema after operative dentistry: Report of case. J Am Dent Assoc. 1970;80(6):1362. https://doi.org/10.14219/jada.archive.1970.0280 PMid:5266130

Schuman NJ, Owens BM, Shelton JT. Subcutaneous emphysema after restorative dental treatment. Compend Contin Educ Dent. 2001;22(1):38-40, 42. PMid:11911057

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Published

2020-03-25

How to Cite

1.
Shashidhar C, Sarda PN, Parmar J, Patil S. Iatrogenic Periorbital Subcutaneous Emphysema after Endodontic Treatment – A Case Report. Open Access Maced J Med Sci [Internet]. 2020 Mar. 25 [cited 2024 Apr. 23];8(C):15-8. Available from: https://oamjms.eu/index.php/mjms/article/view/4214

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Case Report in Dentistry

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