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Management Of Tissue Emphysema In Endodontics - Decision Tree Analysis
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| Author:
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KRISHNAKANTH JAJU, IFFAT NASIM
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| Abstract:
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Air/ gas can be introduced to soft tissue spaces either through the root canal or dento alveolar membrane. Diffusion of air into periorbital area and facial planes during endodontic procedures is rarely reported. The use of a three way air syringe which is usually a common practice among clinicians and forceful irrigation of root canal can lead to tissue emphysema of subcutaneous tissue planes in and around the teeth which are involved. Two procedures in endodontics, if carried out improperly, have the potential to cause a problem. Firstly, during canal preparation, directly using a three way syringe to dry the canal, and secondly, during periapical surgery, air from a high-speed airotor, can lead to air emphysema. Differential diagnosis of tissue emphysema are haematomas, allergic reactions or angio-oedema. A brief pubmed search was performed on management of tissue emphysema in the root canal in endodontics using MeSH terms “emphysema,” “surgical emphysema,” “tissue emphysema.” In addition some websites and local guidelines were also screened. The aim of this review was to develop a decision tree for the management of tissue emphysema in endodontics. By developing and adhering to strict protocols during root canal treatment, one can avoid tissue emphysema and its complications. With a decision tree, the dentist will be able to analyse and make an appropriate call for the line of management of tissue emphysema in endodontics. This decision tree analysis can save a lot of time for the clinician in evaluating and making an appropriate intervention.
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| Keyword:
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Tissue emphysema; Management; Hematoma; Angioedema
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| EOI:
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-
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| DOI:
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https://doi.org/10.31838/ijpr/2020.12.01.301
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| Download:
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Request For Article
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