Published online Jul 6, 2023. doi: 10.12998/wjcc.v11.i19.4698
Peer-review started: March 25, 2023
First decision: April 20, 2023
Revised: April 29, 2023
Accepted: June 6, 2023
Article in press: June 6, 2023
Published online: July 6, 2023
Subcutaneous emphysema is a well-known complication of oral surgery, espe
In this paper, we report a 34-year-old female who underwent upper molar tooth preparation for crowns and subsequently developed extensive subcutaneous emphysema on the retromandibular angle on two different occasions. The treatment plan for this patient involved close observation of the airway, and administration of dexamethasone and antibiotics via intravenous drip or orally. Ice bag compression was quickly applied and medication was prescribed to alleviate discomfort and promote healing. Although the main reason is unclear, the presence of a fissure in the molar is an important clue which may contribute to the development of subcutaneous emphysema during crown preparation. It is imperative for dental professionals to recognize such pre-disposing factors in order to minimize the risk of complications.
This case highlights the need for prompt diagnosis and management of subcutaneous emphysema because of the risk of much more serious compli
Core Tip: Subcutaneous emphysema secondary to dental procedures such as crown preparation is rare. In this paper, we report a 34-year-old female who underwent upper molar tooth preparation for crowns and subsequently developed extensive subcutaneous emphysema on the retromandibular angle on two different occasions. Prompt diagnosis and management of subcutaneous emphysema is necessary for dentist.