NDLI: Subcutaneous Facial Emphysema Following Open-Flap Air-Powder Abrasive Debridement for Peri-Implantitis: A Case Report and an Overview

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Subcutaneous Facial Emphysema Following Open-Flap Air-Powder Abrasive Debridement for Peri-Implantitis: A Case Report and an Overview

Content Provider	MDPI
Author	Monaca, Gerardo La Pranno, Nicola Annibali, Susanna Vozza, Iole Cristalli, Maria Paola
Copyright Year	2021
Description	Subcutaneous facial emphysema related to dental treatments is a well-known clinical complication due to incidental or iatrogenic air or gas penetration into the subcutaneous tissues and fascial planes, leading to distension of the overlying skin. To the best of our knowledge, from 1960 to the current date, only six cases have been reported arising from peri-implant cleaning or non-surgical peri-implantitis treatment. Therefore, the present case of subcutaneous facial emphysema following open-flap air-powder abrasive debridement was the first report during surgical peri-implantitis therapy. Swelling on the left cheek and periorbital space suddenly arose in a 65-year-old woman during open-flap debridement with sodium bicarbonate air-powder abrasion (PROPHYflex™ 3 with periotip, KaVo, Biberach, Germany) of the infected implant surface. The etiology, clinical manifestations, diagnosis, potential complications, and management of subcutaneous emphysema are also briefly reviewed. The present case report draws the attention of dental practitioners, periodontists, oral surgeons, and dental hygienists to the potential iatrogenic risk of subcutaneous emphysema in using air-powder devices in implant surface debridement.
Starting Page	13286
e-ISSN	16604601
DOI	10.3390/ijerph182413286
Journal	International Journal of Environmental Research and Public Health
Issue Number	24
Volume Number	18
Language	English
Publisher	MDPI
Publisher Date	2021-12-16
Access Restriction	Open
Subject Keyword	International Journal of Environmental Research and Public Health Dentistry and Oral Surgery Subcutaneous Emphysema Peri-implantitis Dental Implant Complications
Content Type	Text
Resource Type	Article

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