Abscess Formation After Tooth Extraction: A Long-Term Complication of Polyacrylamide Hydrogel Filler
Aydan A Kose1, Can Ekinci1, Atacan E Koçman2
1Plastic, Reconstructive and Esthetic Surgery, Osmangazi University School of Medicine, Eskişehir, TUR.
Cureus
|September 23, 2022
Summary
Facial abscesses can occur years after polyacrylamide hydrogel filler injections, especially after dental procedures. Physicians should consider antibiotic prophylaxis for patients with permanent facial fillers undergoing bacteremia-risk procedures.
Area of Science:
- Plastic Surgery
- Dermatology
- Infectious Disease
Background:
- Polyacrylamide hydrogel fillers are permanent facial augmentation materials.
- While considered biocompatible, late complications can arise.
- Understanding risks associated with permanent fillers is crucial for patient safety.
Observation:
- A 35-year-old woman developed a facial abscess post-dental extraction.
- The patient had a history of polyacrylamide hydrogel filler injection.
- MRI confirmed a facial abscess in the zygomaticotemporal area.
Findings:
- The patient's abscess was successfully treated.
- Healing resulted in hyperpigmentation and deformity.
- This case highlights the risk of late-onset infections with permanent fillers.
Implications:
- Physicians must be aware of potential late infections from permanent fillers.
- Antiseptic measures and antibiotic prophylaxis may be necessary before procedures near filler sites.
- This emphasizes the importance of comprehensive patient history and risk assessment.
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