Iatrogenic subcutaneous cervicofacial emphysema with pneumomediastinum after class V restoration
이상운, 허윤혁, 차민상,
소속 상세정보
이상운 ( Lee Sang-Woon ) - University of Ulsan College of Medicine Gangneung Asan Hospital Department of Dentistry
허윤혁 ( Huh Yoon-Hyuk ) - Gangneung-Wonju National University Department of Prosthodontics
차민상 ( Cha Min-Sang ) - University of Ulsan College of Medicine Gangneung Asan Hospital Department of Dentistry
KMID : 0355620170430010049
Abstract
Subcutaneous facial emphysema after dental treatment is an uncommon complication caused by the invasion of high-pressure air; in severe cases, it can spread to the neck, mediastinum, and thorax, resulting in cervical emphysema, pneumomediastinum, and pneumothorax. The present case showed subcutaneous cervicofacial emphysema with pneumomediastinum after class V restoration. The patient was fully recovered after eight days of conservative treatment. The cause of this case was the penetration of high-pressure air through the gingival sulcus, which had a weakened gingival attachment. This case indicated that dentists should be careful to prevent subcutaneous emphysema during common dental treatments using a high-speed hand piece and gingival retraction cord.
키워드
Subcutaneous emphysema; Mediastinal emphysema
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