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Maxillofacial Plastic and Reconstructive Surgery

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Open Access 01-12-2018 | Case report

Emphysema following air-powder abrasive treatment for peri-implantitis

Authors: Sung-Tak Lee, Malavika Geetha Subu, Tae-Geon Kwon

Published in: Maxillofacial Plastic and Reconstructive Surgery | Issue 1/2018

Abstract

Background

Subcutaneous emphysema refers to swelling caused by the presence of air or gas in the interstices of loose connective tissue. In the head and neck area, it may follow the fascial planes and is characterized by sudden swelling, crepitus on palpation, infrequent pain, and air emboli on radiography. It usually occurs as a complication in dental treatment. Some reports have described subcutaneous emphysema caused by dental procedures; however, severe emphysema related to peri-implantitis after treatment has not been documented. Accordingly, the current report describes a rare case of subcutaneous cervical emphysema resulting from the use of an air-powder abrasive device to treat peri-implantitis.

Case presentation

Based on a review of the existing literature and the present case, nine cases of subcutaneous emphysema due to air-powder abrasive device have been reported. In most cases, the emphysema resolved over time after treatment with prophylactic antibiotics; among these, two were related to peri-implantitis management.

Conclusion

Considering the frequent use of air-powder abrasive devices to treat peri-implantitis, the potential risk of iatrogenic emphysema related to this procedure needs to be addressed more extensively.

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Title: Emphysema following air-powder abrasive treatment for peri-implantitis
Authors: Sung-Tak Lee
Malavika Geetha Subu
Tae-Geon Kwon
Publication date: 01-12-2018
Publisher: Springer Berlin Heidelberg
Published in: Maxillofacial Plastic and Reconstructive Surgery / Issue 1/2018
Electronic ISSN: 2288-8586
DOI: https://doi.org/10.1186/s40902-018-0151-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Emphysema following air-powder abrasive treatment for peri-implantitis

Abstract

Background

Case presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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