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The Establishment of a Murine Mandibular Molar Extraction Socket Healing Model

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[Wide-spread subcutaneous emphysema after third molar extraction. Case report].

Andrej Terzic¹, Heinz-Theo Lübbers, Thilo Franze

¹Klinik und Poliklinik für Kiefer- und Gesichtschirurgie, UniversitätsSpital Zürich.

Schweizer Monatsschrift Fur Zahnmedizin = Revue Mensuelle Suisse D'Odonto-Stomatologie = Rivista Mensile Svizzera Di Odontologia E Stomatologia

|September 23, 2006

Summary

Subcutaneous emphysema, a rare complication following wisdom teeth removal, can be serious. This case demonstrates successful conservative treatment with antibiotics, resolving symptoms without surgery.

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Area of Science:

Oral and Maxillofacial Surgery
Surgical Complications
Infectious Disease

Context:

Wisdom teeth removal is a common dental procedure.
Subcutaneous emphysema is a rare but potential complication.
Air collections can spread towards the mediastinum, posing risks.

Purpose:

To report a case of subcutaneous emphysema after wisdom teeth removal.
To discuss the diagnostic findings and management of this complication.
To highlight the importance of prompt evaluation and treatment.

Summary:

An 18-year-old male developed painful subcutaneous neck emphysema two days post-wisdom teeth extraction.
CT scans revealed air collections extending towards the mediastinum.
Conservative treatment with intravenous broad-spectrum antibiotics led to complete symptom resolution within three days, avoiding surgery.

Impact:

This case underscores that conservative management can be effective for uncomplicated subcutaneous emphysema post-dental surgery.
It emphasizes the need for thorough examination to rule out infection, which may necessitate surgical intervention.
Early recognition and appropriate antibiotic therapy are crucial for favorable outcomes.