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- Case Report Subcutaneous emphysema during fracture line inspection: case report
- Min-Young Kim, DDS, Sung-Ho Park, DDS, MSD, PhD, Yoo-Seok Shin, DDS, MSD, Euiseong Kim, DDS, MSD, PhD
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Journal of Korean Academy of Conservative Dentistry 2011;36(6):506-509.
DOI: https://doi.org/10.5395/JKACD.2011.36.6.506
Published online: November 30, 2011
Department of Conservative Dentistry, Microscope Center, Yonsei University College of Dentistry, Seoul, Korea.
- Correspondence to Euiseong Kim, DDS, MSD, PhD. Professor, Department of Conservative Dentistry, Microscope Center, Yonsei University College of Dentistry, 50 Yonsei-ro, Seodaemun-gu, Seoul, Korea 120-752. TEL, +82-2-2228-8700; FAX, +82-2-313-7575; andyendo@yuhs.ac
• Received: June 30, 2011 • Revised: August 23, 2011 • Accepted: August 29, 2011
Copyright © 2011 Korean Academy of Conservative Dentistry
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Abstract
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The development of subcutaneous emphysema is a well-known complication that has been reported after dental extraction, endodontic treatment, or restorative preparation. Gaseous invasion, leading to swelling, crepitus on palpation, is commonly restricted to the connective tisssues immediately adjacent to the entry site. However, the use of compressed air- and water-cooled turbines may allow large amounts of air and water to be driven through the fascial planes into the mediastinum, pleural space, or even the retroperitoneum.This case report is about the patient who presented with subcutaneous emphysema that occurred after fracture line inspection. Possible cause, treatment, and prevention of emphysema will be discussed.
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Conflict of Interest: No potential conflict of interest relevant to this article was reported.
ARTICLE INFORMATION
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Figure 1
Preoperative clinical photograph and radiograph
: Buccal surface of mesial root is exposed due to severe gingival recession. Periapical radiograph revealed periapical radiolucency around mesial root of #36.
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Figure 1
Preoperative clinical photograph and radiograph
: Buccal surface of mesial root is exposed due to severe gingival recession. Periapical radiograph revealed periapical radiolucency around mesial root of #36.
Figure 2
Extraoral and intraoral photographs after onset of subcutaneous emphysema
: Sudden onset of swelling on left infraorbital, buccal, vestibular area.
Figure 3
Methylene blue staining procedure.
Figure 4
Schematic of the pathogenesis of subcutaneous emphysema.
Figure 1
Figure 2
Figure 3
Figure 4
Subcutaneous emphysema during fracture line inspection: case report
