{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T20:37:57Z","timestamp":1789677477322,"version":"4.0.1"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,5,3]],"date-time":"2022-05-03T00:00:00Z","timestamp":1651536000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical &amp; Exp Dental Res"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>A subcutaneous emphysema is an infrequent but potentially life\u2010threatening complication after dental treatment involving instruments functioning with pressurized air. Emphysemata after the use of high\u2010speed handpieces and air\u2010syringes are well documented, however, more recently several reports on emphysemata produced by air\u2010polishing devices during management of peri\u2010implant biological complications have appeared. To the best of our knowledge, direct development of pneumocephalus after a dental procedure has never been reported before. Introduction of air likely contaminated with oral bacteria to the intracranial space bares the risk of developing meningitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>This case report describes the spreading of a subcutaneous emphysema into the intracranial space (i.e., development of a pneumocephalus) after treatment of a peri\u2010implantitis lesion with an air\u2010polishing device equipped with the nozzle for submucosal debridement. A subcutaneous emphysema was noticed during the use of an air\u2010polishing device and the subsequent computed tomography\u00a0(CT) examination revealed a quite unexpected spreading of the emphysema into the intracranial space. The patient was admitted to the hospital for close surveillance, CT follow\u2010up, and intravenous antibiotics to prevent the development of meningitis due to the introduction of air\u2014likely contaminated with oral bacteria\u2014into the intracranial space. After 3 days, the patient was discharged in good condition without any further complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In case of an extensive subcutaneous emphysema as result of a dental procedure, a more extended radiographic examination including the mediastinal and cranial space should be considered, to assess the risk for potentially life\u2010threatening complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cre2.578","type":"journal-article","created":{"date-parts":[[2022,5,3]],"date-time":"2022-05-03T03:04:50Z","timestamp":1651547090000},"page":"632-639","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Pneumocephalus as result of nonsurgical peri\u2010implantitis treatment with an air\u2010polishing device for submucosal debridement\u2014A case report"],"prefix":"10.1002","volume":"8","author":[{"given":"Corinna","family":"Bruckmann","sequence":"first","affiliation":[{"name":"Division of Conservative Dentistry and Periodontology, University Clinic of Dentistry Medical University of Vienna  Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lukas","family":"Bruckmann","sequence":"additional","affiliation":[{"name":"Neurosurgical Department Klinik Landstrasse Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9","family":"Gahleitner","sequence":"additional","affiliation":[{"name":"Department of Biomedical Imaging and Image\u2010Guided Therapy Medical University of Vienna Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8161-3754","authenticated-orcid":false,"given":"Andreas","family":"Stavropoulos","sequence":"additional","affiliation":[{"name":"Division of Conservative Dentistry and Periodontology, University Clinic of Dentistry Medical University of Vienna  Austria"},{"name":"Department of Periodontology, Faculty of Odontology University of Malm\u00f6 Malm\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8279-7943","authenticated-orcid":false,"given":"Kristina","family":"Bertl","sequence":"additional","affiliation":[{"name":"Division of Oral Surgery, University Clinic of Dentistry Medical University of Vienna Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,5,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2020.06.025"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/adj.12537"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0000000000001165"},{"key":"e_1_2_9_5_1","first-page":"807","article-title":"[Subcutaneous emphysema following non\u2010surgical peri\u2010implantitis therapy using an air abrasive device: A case report]","volume":"124","author":"Bassetti M.","year":"2014","journal-title":"Swiss Dental Journal"},{"key":"e_1_2_9_6_1","first-page":"\u00a0S22","article-title":"Efficacy of air\u2010polishing devices in disinfecting implant surfaces in a non\u2010surgical simulation","volume":"32","author":"Bertl K.","year":"2021","journal-title":"Clinical Oral Implants Research"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40463-020-00455-0"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.1972.0283"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.20-0222"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-018-03796-y"},{"key":"e_1_2_9_11_1","first-page":"535","article-title":"Emphysematous complications in dentistry, 1960\u20101993: An illustrative case and review of the literature","volume":"26","author":"Heyman S. N.","year":"1995","journal-title":"Quintessence International"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2415-13-68"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/eos.12529"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9394(77)90924-2"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40902-018-0151-7"},{"key":"e_1_2_9_16_1","first-page":"677","article-title":"Traumatic air blast injury with intracranial, bilateral orbital, and mediastinal air","volume":"20","author":"Lubniewski A. J.","year":"1989","journal-title":"Ophthalmic Surgery"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000289634.24785.04"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01401900"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.2141"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2008.12.050"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182413286"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23934"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004884.pub4"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2017.04.026"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12028-010-9363-0"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.2053.1131-b"},{"key":"e_1_2_9_27_1","first-page":"1090","article-title":"Intracerebral air caused by conjunctival laceration with air hose","volume":"117","author":"Williams T. R.","year":"1999","journal-title":"Archives of Ophthalmology"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10140-006-0546-0"}],"container-title":["Clinical and Experimental Dental Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cre2.578","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/cre2.578","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cre2.578","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T21:01:01Z","timestamp":1692824461000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cre2.578"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,3]]},"references-count":27,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,6]]}},"alternative-id":["10.1002\/cre2.578"],"URL":"https:\/\/doi.org\/10.1002\/cre2.578","archive":["Portico"],"relation":{},"ISSN":["2057-4347","2057-4347"],"issn-type":[{"value":"2057-4347","type":"print"},{"value":"2057-4347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5,3]]},"assertion":[{"value":"2022-03-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-01","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-05-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}