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Extensive subcutaneous emphysema secondary to endodontic treatment
Nirmal Shah1, Bobby Sharma2, Nicola Campbell3
1Edinburgh Dental Institute, Edinburgh, UK. nirmal.shah@nhslothian.scot.nhs.uk.
British Dental Journal
|January 27, 2023
Summary
Subcutaneous emphysema, a rare dental complication from iatrogenic injury, requires prompt identification and management. Dentists must be aware of this condition to ensure proper patient care and prevent complications.
Area of Science:
- Dentistry
- Oral Surgery
- Medical Complications
Background:
- Subcutaneous emphysema is an uncommon condition in dentistry.
- It often results from iatrogenic (treatment-induced) injury.
- Reported cases between 1993 and 2008 were limited to 32.
Purpose of the Study:
- To highlight the significance of subcutaneous emphysema for dental practitioners.
- To provide guidance on recognizing the signs and symptoms.
- To outline effective management strategies for this condition.
Main Methods:
- Literature review of reported cases.
- Clinical case discussion.
- Analysis of diagnostic criteria.
- Review of treatment protocols.
Main Results:
- Subcutaneous emphysema is a rare but potential complication of dental procedures.
- Early recognition is crucial for effective management.
- Management typically involves conservative measures and observation.
Conclusions:
- Dentists need to be aware of subcutaneous emphysema as a possible outcome of iatrogenic injury.
- Prompt diagnosis and appropriate management are essential.
- Further research could explore preventative measures and standardized treatment guidelines.
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