# A Rare Complication of Dental Care: A Case of Subcutaneous Emphysema, Pneumomediastinum, and Pneumopericardium

**Authors:** Caroline Henin, Laure Watelet, Vanessa Wauters

PMC · DOI: 10.7759/cureus.85035 · 2025-05-29

## TL;DR

A 64-year-old man developed rare complications after a dental procedure, including air in the soft tissues and around the heart, highlighting the need for prompt recognition in emergency care.

## Contribution

The paper presents a rare case of iatrogenic complications from dental care and emphasizes the importance of timely diagnosis and management.

## Key findings

- A dental procedure using an air-driven tool caused subcutaneous emphysema, pneumomediastinum, and pneumopericardium.
- Prompt recognition and management in emergency settings are crucial to prevent deterioration from such iatrogenic complications.

## Abstract

This article reports the rare case of a 64-year-old man who presented at the emergency department with interscapular pain following a dental procedure. Imaging revealed subcutaneous emphysema, pneumomediastinum, and pneumopericardium, resulting from the use of an air-driven tool during the treatment of a molar implant. Although uncommon, such iatrogenic complications can lead to serious consequences and should be promptly recognized and managed in emergency settings to prevent further deterioration.

## Full-text entities

- **Diseases:** interscapular pain (MESH:D010146), Subcutaneous Emphysema (MESH:D013352), Pneumomediastinum (MESH:D008478), Pneumopericardium (MESH:D011026)

## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12206070/full.md

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Source: https://tomesphere.com/paper/PMC12206070