An unusual complication after the extraction of a maxillary third molar: Extensive subcutaneous emphysema. A case report

Abstract

Third molar surgery is one of the most frequently performed procedures in oral and maxillofacial surgery. Various complications including pain, bleeding, infec-tion, edema, hematoma, perforation of the maxillary sinus, and subcutaneous em-physema (SE) can occur after third molar surgery. Cervicofacial subcutaneous em-physema (CSE) most often occurs after the extraction of third molars, especially when using high-speed air-turbine drills and air syringes, or during dental laser treatment or even after endodontic treatment. This report presents the diagnosis and treatment protocol of a CSE in a 42-year-old healthy male patient that oc-curred after extraction of a totally erupted upper third molar with just a straight elevator and extraction forceps.