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

Gerardo La Monaca, Nicola Pranno, Susanna Annibali, Iole Vozza and Maria Paola Cristalli
Additional contact information
Gerardo La Monaca: Department of Oral and Maxillofacial Sciences, Sapienza, University of Rome, 00173 Rome, Italy
Nicola Pranno: Department of Oral and Maxillofacial Sciences, Sapienza, University of Rome, 00173 Rome, Italy
Susanna Annibali: Department of Oral and Maxillofacial Sciences, Sapienza, University of Rome, 00173 Rome, Italy
Iole Vozza: Department of Oral and Maxillofacial Sciences, Sapienza, University of Rome, 00173 Rome, Italy
Maria Paola Cristalli: Department of Biotechnologies and Medical Surgical Sciences, Sapienza, University of Rome, 00173 Rome, Italy

IJERPH, 2021, vol. 18, issue 24, 1-7

Abstract: 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.

Keywords: subcutaneous emphysema; peri-implantitis; dental implant complications (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/18/24/13286/pdf (application/pdf)
https://www.mdpi.com/1660-4601/18/24/13286/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:18:y:2021:i:24:p:13286-:d:704190

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().