• Australian dental journal · Mar 2019

    Case Reports

    Iatrogenic subcutaneous facial emphysema secondary to a Class V dental restoration: a case report.

    • Py-H Chien.
    • The University of Queensland (UQ), Wide Bay Hospital and Health Services (WBHHS), Brisbane, Queensland, Australia.
    • Aust Dent J. 2019 Mar 1; 64 (1): 43-46.

    AbstractSubcutaneous facial emphysema (SFE) following routine dental operative procedure is an uncommon but potentially life-threatening complication. The present case details a Class V restoration where air was introduced into the fascial tissue planes via the gingival sulcus from the use of an air-driven dental handpiece. Although the SFE is usually self-limiting within 3-10 days, such instances should be regarded as a medical emergency as in severe cases, the air may spread to the neck, mediastinum and thorax to result in cervicofacial emphysema with potential pneumomediastinum and pneumothorax.© 2018 Australian Dental Association.

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