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Medical Forum / General / Dentistry / October 2004Post dentist appointment problem
My wife is one day removed from a dental appointment where a tooth was drilled and air was shot into the opening and traveled up the side of her face to the ear. It has caused discomfort and swelling that has eased somewhatin 24 hrs. Has anyone experienced this? Are there any serious results from such an event? What should she do? Any help would be appreciated. Thanks, r@fink >My wife is one day removed from a dental appointment where a tooth was >drilled and air was shot into the opening and traveled up the side of [quoted text clipped - 5 lines] >Thanks, >r@fink This post confuses me. Exactly what procedure was done by the dentist, and on what tooth? What opening was the air shot into, and how do you know that it traveled up the side of her face? Do you have any pictures that could aid in diagnosis? Adenosine >>My wife is one day removed from a dental appointment where a tooth was >>drilled and air was shot into the opening and traveled up the side of [quoted text clipped - 16 lines] > >Adenosine No picture needed for this one. Tissue blows up like a balloon. The only time it happened to one of my patients was during a very difficult surgical extraction of an upper 1st premolar. It's kinda rare but does happen. -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE >>>My wife is one day removed from a dental appointment where a tooth was >>>drilled and air was shot into the opening and traveled up the side of [quoted text clipped - 24 lines] > >It's kinda rare but does happen. Like this? : >Cervicofacial subcutaneous air emphysema after dental extraction. > [quoted text clipped - 11 lines] > >PMID: 2181012 [PubMed - indexed for MEDLINE] Were you using a non-surgical handpeice? From the author of that (talking to somebody else) : -------------------------- Mike is correct. You caused development of subcutaneous air emphysema when you used your air syringe. These can look pretty fightening, considering how little air it takes to create it. The most important treatment for this is "tincture of time", along with reassuring the patient that it will resolve over a few days. You definitely want to put the patient on prophylactic antibiotics (penicillin, cephalexin, clindamycin, etc.). Ice helps initially. After 48 hours, moist heat is helpful. You have to be very careful with the air syringe whenever there is a break in the integrity of the gingival attachment. This can also occur when using a standard high-speed dental handpiece to remove bone or section a tooth under a flap. I wrote a case report and literature review on this subject many years ago. If you wand to look it up, the reference is: Reznick JB, Ardary WC: Case Report: Cervicofacial Subcutaneous Air Emphysema After Dental Extraction. Journal of the American Dental Association 120(4): 417 - 419, 1990. If you have any more questions, let me know. ---------------------- Makes me glad that all my tooth extractions went easily. Adenosine >>A patient was seen by a general practitioner for surgical removal of his third molar. >>A standard high-speed handpiece was used to remove the tooth. During the STANDARD should never be used! Surgical handpiece should be electric ........ or surgical h.p. >>>A patient was seen by a general practitioner for surgical removal of his third molar. >>>A standard high-speed handpiece was used to remove the tooth. During the > >STANDARD should never be used! > >Surgical handpiece should be electric ........ or surgical h.p. How about a 45 degree air driven high speed with no port for air, only water ? That's what I use. -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE >>>>A patient was seen by a general practitioner for surgical removal of his third molar. >>>>A standard high-speed handpiece was used to remove the tooth. During the [quoted text clipped - 5 lines] >How about a 45 degree air driven high speed with no port >for air, only water ? That's what I use. That's what I would call a surgical h.p. >>How about a 45 degree air driven high speed with no port >>for air, only water ? That's what I use. > >That's what I would call a surgical h.p. Yup. good for wizzies. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >My wife is one day removed from a dental appointment where a tooth was >drilled and air was shot into the opening and traveled up the side of [quoted text clipped - 5 lines] >Thanks, >r@fink Yep have done it, once. Patient should be on an antibiotic and using a cold compress. Complications are rare. Most serious complication is infection which is controlled by the antibiotic. I forget what this is called pneumo- something.... air in the tissue. She should be just fine. -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE >My wife is one day removed from a dental appointment where a tooth was >drilled and air was shot into the opening and traveled up the side of >her face to the ear. It has caused discomfort and swelling that has >eased somewhatin 24 hrs. > Has anyone experienced this? Are there any serious results from >such an event? What should she do? Any help would be appreciated. My guess its from the injection .... .yup it happens around once per year per dentist. Joel >Thanks, >r@fink >>My wife is one day removed from a dental appointment where a tooth was >>drilled and air was shot into the opening and traveled up the side of [quoted text clipped - 7 lines] > >Joel That'd be a hematoma. This sounds like air emphysema to me. >>Thanks, >>r@fink -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE >>>My wife is one day removed from a dental appointment where a tooth was >>>drilled and air was shot into the opening and traveled up the side of [quoted text clipped - 9 lines] >> >That'd be a hematoma. Well not exactly. I am talking about a nerve-induced swelling ........ a hematoma is localized and is around the same valume as that injected ..... >This sounds like air emphysema to me. > >>>Thanks, >>>r@fink >>That'd be a hematoma. > >Well not exactly. I am talking about a nerve-induced swelling ........ >a hematoma is localized and is around the same valume as that injected >..... Haven't had the displeasure. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com |
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