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With two episodes of right retromandibular angle subcutaneous emphysema during right upper molar crown preparation:A case report

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World Journal of Clinical Cases 2023年第19期11卷 4698-4706页

作者： Yun-Peng Bai Jing-Jing Sha Chang-Chang Chai Hai-Peng Sun Department of Prosthodontics and Implantology Shenzhen University Affiliated Shenzhen Stomatology HospitalShenzhen 518001Guangdong ProvinceChina Department of Endodontics Shenzhen University Affiliated Shenzhen Stomatology HospitalShenzhen 518001Guangdong ProvinceChina

BACKGROUND Subcutaneous emphysema is a well-known complication of oral surgery,especially during mandibular wisdom tooth ***,subcutaneous emphysema secondary to dental procedures such as crown preparation is *** main symptom of emphysema is swelling and crepitus on *** emphysema may spread along the fascial planes and cause deep space infections or a *** SUMMARY 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 *** treatment plan for this patient involved close observation of the airway,and administration of dexamethasone and antibiotics via intravenous drip or *** bag compression was quickly applied and medication was prescribed to alleviate discomfort and promote *** 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 *** is imperative for dental professionals to recognize such pre-disposing factors in order to minimize the risk of *** This case highlights the need for prompt diagnosis and management of subcutaneous emphysema because of the risk of much more serious *** of relatively“benign”subcutaneous emphysema during any dental procedure is critical not only for inexperienced dentists,but also for those who work in rural and remote settings as members of surgical *** this study,we review the clinical presentation,mechanism,and differential diagnosis of subcutaneous emphysema.

关键词： Subcutaneous emphysema dental procedures dental prosthesis preparation Retro-mandibular space Intraoperative complications Case report

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Liver abscess after implantation of dental prosthesis

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World Journal of Hepatology 2012年第11期4卷 319-321页

作者： Gokhan Gungor Murat Biyik Hakki Polat Hilal Ciray Orhan Ozbek Ali Demir Department of Gastroenterology Meram Faculty of Medicine Konya University 42080 Konya Turkey

Pyogenic liver abscesses are rare but a life-threatening important condition. dental procedures constitute only rare cases of pyogenic liver abscesses, with only a few cases in the literature. We report a patient with liver abscess following a dental procedure. A 74 years old diabetic male patient was admitted to our hospital with complaints of fatigue, 40?°C fever, rigors and right upper quadrant pain, 3-4 d after a dental procedure. Physical examination revealed fever and tenderness in the right upper quadrant. Laboratory examination revealed leucocytosis, elevated erythrocyte sedimentation rate and C-reactive protein and moderately elevated transaminases. An abscess was detected in radiological examination in the medial part of the left lobe of liver, neighboring the gall bladder. He was successfully treated with percutaneous abscess drainage and antibiotherapy.

关键词： Liver abscess dental procedures Bacteremia Immunosuppression Abscess treatment

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