An unusual complication of periodontal debridement: subcutaneous emphysema and pneumomediastinum
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Cervicofacial subcutaneous emphysema (CSE) and pneumomediastinum (PM) are rare complications after dental interventions. In this case report, an unusual case of CSE and PM developed following air-powder polishing is presented because of the rare occurrence in the literature. Oral hygiene instructions, periodontal debridement, and air-powder polishing were carried out. The patient complained of discomfort and swelling on the right side of her face and her throat immediately after the procedure. The patient was referred to the emergency care unit. Crepitation was noted on palpation at the right lateral face and neck of patient. Computed Tomography confirmed cervical emphysema with pneumomediastinum. Patient was hospitalized, and parenteral antibiotic therapy was administered. The recovery was uneventful. Dentists and physicians should be aware that the use of air-flow devices can lead to the risk of CSE and PM. The diagnosis and treatment should be provided quickly to reduce further complications.
SourceTürkiye Klinikleri Journal of Case Reports
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