Emphysema following air-powder abrasive treatment for peri-implantitis
10.1186/s40902-018-0151-7
- Author:
Sung Tak LEE
1
;
Malavika Geetha SUBU
;
Tae Geon KWON
Author Information
1. Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University, 2177 Dalgubeol-daero, Jung-gu, Daegu 41940, Republic of Korea. kwondk@knu.ac.kr
- Publication Type:Case Report
- Keywords:
Subcutaneous;
Pneumomediastinum;
Emphysema;
Peri-implantitis;
Air abrasive
- MeSH:
Anti-Bacterial Agents;
Connective Tissue;
Emphysema;
Head;
Mediastinal Emphysema;
Neck;
Palpation;
Peri-Implantitis;
Radiography;
Subcutaneous Emphysema
- From:Maxillofacial Plastic and Reconstructive Surgery
2018;40(1):12-
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Subcutaneous emphysema refers to swelling caused by the presence of air or gas in the interstices of loose connective tissue. In the head and neck area, it may follow the fascial planes and is characterized by sudden swelling, crepitus on palpation, infrequent pain, and air emboli on radiography. It usually occurs as a complication in dental treatment. Some reports have described subcutaneous emphysema caused by dental procedures; however, severe emphysema related to peri-implantitis after treatment has not been documented. Accordingly, the current report describes a rare case of subcutaneous cervical emphysema resulting from the use of an air-powder abrasive device to treat peri-implantitis. CASE PRESENTATION: Based on a review of the existing literature and the present case, nine cases of subcutaneous emphysema due to air-powder abrasive device have been reported. In most cases, the emphysema resolved over time after treatment with prophylactic antibiotics; among these, two were related to peri-implantitis management. CONCLUSION: Considering the frequent use of air-powder abrasive devices to treat peri-implantitis, the potential risk of iatrogenic emphysema related to this procedure needs to be addressed more extensively.
