Life‐Threatening Pneumomediastinum Following Dental Scaling and Prophylaxis—Case Report

ABSTRACT Background Subcutaneous emphysema (SE) following invasive dental surgeries have been documented in previous literatures in which majority of cases are secondary to use of air‐driven devices. However, there has been limited reports on development of SE and pneumomediastinum following minimally invasive dental scaling procedures. Aim The aim of this case repot is to discuss the presentation, potential complications and management of SE and pneumomediastinum in dental patients. Methods The authors report two cases of extensive cervicofacial emphysema and pneumomediastinum following dental scaling at two different dentist's clinics. Results and Conclusion This case report highlights the potential dangers of this commonly performed dental procedure in office‐based setting that is seemingly low risk. A high index of suspicion, immediate termination of procedure and appropriate management in hospital setting is warranted for the prevention of life‐threatening complications.