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Relevância e incidência do enfisema relacionado com tratamentos dentários
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Abstract(s)
O enfisema carateriza-se pela presença de ar sob os tecidos moles da pele, podendo resultar de condições médicas, traumas ou causas iatrogénicas.
É uma complicação rara que pode ocorrer após tratamentos dentários, associado ao uso de instrumentos de ar de alta pressão, como peças de alta rotação, seringas de ar e outros equipamentos de ar comprimido e pontas ultrassónicas.
Esta dissertação tem como principal objetivo investigar a incidência e os fatores de risco associados ao desenvolvimento do enfisema subcutâneo em pacientes submetidos a intervenções dentárias.
Os resultados indicam que, embora o enfisema subcutâneo seja raro, a falta de diagnóstico precoce pode levar a complicações severas, como o pneumomediastino, que exige cuidados médicos imediatos. Entre os fatores de risco identificados estão o uso de instrumentos de ar comprimido em regiões próximas aos tecidos moles, descolamentos muco-periósteos extensos ou presença de bolsas periodontais.
A consciencialização dos médicos dentistas para esta condição, aliada à adoção de práticas preventivas e de diagnósticos rápidos, é fundamental para reduzir a incidência e o impacto clínico do enfisema subcutâneo.
Subcutaneous emphysema is characterized by the presence of air under the soft tissues of the skin and can result from medical conditions, trauma, or iatrogenic causes. It is a rare complication that can occur after dental treatments, often associated with the use of high-pressure air instruments such as high-speed handpieces, air syringes, compressed air equipment, and ultrasonic tips. The main objective of this dissertation is to investigate the incidence and risk factors associated with the development of subcutaneous emphysema in patients undergoing dental interventions. The results indicate that, although subcutaneous emphysema is rare, the lack of early diagnosis can lead to more serious complications, such as pneumomediastinum, which requires immediate medical attention. Identified risk factors include the use of compressed air instruments in areas close to soft tissues, extensive mucoperiosteal flaps, or the presence of periodontal pockets. Raising awareness among dental practitioners about this condition, combined with the adoption of preventive practices and rapid diagnosis, is crucial to reducing the incidence and clinical impact of subcutaneous emphysema.
Subcutaneous emphysema is characterized by the presence of air under the soft tissues of the skin and can result from medical conditions, trauma, or iatrogenic causes. It is a rare complication that can occur after dental treatments, often associated with the use of high-pressure air instruments such as high-speed handpieces, air syringes, compressed air equipment, and ultrasonic tips. The main objective of this dissertation is to investigate the incidence and risk factors associated with the development of subcutaneous emphysema in patients undergoing dental interventions. The results indicate that, although subcutaneous emphysema is rare, the lack of early diagnosis can lead to more serious complications, such as pneumomediastinum, which requires immediate medical attention. Identified risk factors include the use of compressed air instruments in areas close to soft tissues, extensive mucoperiosteal flaps, or the presence of periodontal pockets. Raising awareness among dental practitioners about this condition, combined with the adoption of preventive practices and rapid diagnosis, is crucial to reducing the incidence and clinical impact of subcutaneous emphysema.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Enfisema subcutâneo Tratamentos dentários