Volume 13, Issue 2 (4-2024)                   Caspian J Dent Res 2024, 13(2): 59-65 | Back to browse issues page

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Bagherpour A, Jamali paghaleh Z. Subcutaneous emphysema as a complication of mandibular third molar extraction: A case report highlighting diagnostic imaging and surgical management strategies. Caspian J Dent Res 2024; 13 (2) :59-65
URL: http://cjdr.ir/article-1-441-en.html
Department of Oral and Maxillofacial Radiology, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran. , zahrajamalipa@gmail.com
Abstract:   (441 Views)
Subcutaneous emphysema is a rare complication that can occur when air is forced under the skin, causing swelling and a crackling sensation on the touch. This study aimed to report a case of subcutaneous emphysema during mandibular wisdom tooth extraction emphasizing its diagnosis and management strategies. A 47-year-old male experienced unilateral swelling on the left side of his face in the area of the mandibular angle following extraction of his lower left wisdom tooth. Cone-beam computed tomography (CBCT) and panoramic images revealed subcutaneous emphysema and displacement of the tooth root into the submandibular space. Immediate surveillance and pain mitigation were promptly commenced, leading to subsequent surgical intervention. This research underscores the importance of accurate diagnosis and timely intervention in managing subcutaneous emphysema to prevent severe complications. Also, CBCT is needed to accurately diagnose emphysema and the status of tooth root displacement. Furthermore, it recommends utilizing a surgical handpiece instead of a turbine for tooth extraction in order to minimize the chances of encountering this uncommon yet severe complication.
Keywords: Subcutaneous emphysema, Third molar, Cone-beam computed tomography, Radiography, Panoramic.
 
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Type of Study: Case Report | Subject: Oral & Maxillofacial Radiology
* Corresponding Author Address: Department of Oral and Maxillofacial Radiology, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

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