Rare Complication Following Use of High-Speed Air Drill During Dental Treatment: Orbital Mediastinal, and Cervicofacial Subcutaneous Emphysema and Pneumothorax

Francesco Sartorelli; Mangili Giulia; Luca Bellanti; Carlo Salgarelli Attilio

Scientific Archives of Dental Sciences

ISSN-Online : 2642-1623 ISSN-Print : N/A Open Access

Scientific Archives of Dental Sciences (SAODS) (ISSN: 2642-1623) provides an international forum for the quality publication of original research, case reports, and reviews from all fields of oral medicine and Dentistry. We are peer-reviewed, open-access journal published monthly in English-language.

We provide an international forum for the quality publication of original research, case reports and reviews from all fields of oral medicine and Dentistry. The main objective of this journal is to provide, a global platform for researchers, scientists, scholars and academicians in the field of dentistry to publish their research work and update the recent advances.

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Case Report

Rare Complication Following Use of High-Speed Air Drill During Dental Treatment: Orbital Mediastinal, and Cervicofacial Subcutaneous Emphysema and Pneumothorax

Open Access

Volume 7, Issue 9, January 2026, Pages 03-07

Authors

Francesco Sartorelli ¹, Mangili Giulia ², Luca Bellanti ³, Carlo Salgarelli Attilio³

Affiliation:

[1]

Assistant, Maxillo-Facial Surgery Unit, Head and Neck Department, ASST di Mantova, Str. Lago Paiolo, Mantua, Italy

[2]

Attendant, Maxillo-Facial Surgery Unit, Head and Neck Department, Maxillo-Facial Surgery Unit, Head and Neck Department, ASST di Mantova, Str. Lago Paiolo, Mantua, Italy

[3]

Full Professor, Chief of Maxillo-Facial Surgery Unit, Head and Neck Department, Maxillo-Facial Surgery Unit, Head and Neck Department, ASST di Mantova, Str. Lago Paiolo, Mantua, Italy

Corresponding Author

Mangili Giulia

History

Received: August 2024
Available Online: January 2026

Abstract

Subcutaneous facial emphysema following dental procedures is a rare complication resulting from the infiltration of high-pressure air. We report the case of a 45-year-old woman with cervical subcutaneous emphysema, pneumomediastinum, and pneumothorax occurring after restorative dentistry treatment of her left second molar using an air-tribune drill. These complications were caused by the penetration of high-pressure air through the gingival sulcus. Remarkably, the patient achieved full recovery after a brief period of conservative treatment.

Keywords

Dental Treatment, High-Speed Air Drill, Pneumomediastinum, Pneumothorax, Subcutaneous Emphysema

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