{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T15:59:06Z","timestamp":1790697546097,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T00:00:00Z","timestamp":1777766400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T00:00:00Z","timestamp":1777766400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dental Hygiene"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Subcutaneous facial emphysema (SFE) is a rare but potentially serious complication of dental procedures involving pressurised air. While most historically reported cases were associated with air\u2010driven handpieces, more recent literature has also implicated air\u2010polishing systems. However, reports related to the use of subgingival air\u2010polishing nozzles in periodontal pockets remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>The presented case demonstrates an SFE that occurred following the use of an air\u2010polishing system in a deep periodontal pocket. A glycine\u2010based air\u2010powder abrasion was used in a 5\u2009mm deep periodontal pocket for biofilm eradication. After which, a periorbital and right cheek swelling arose. Hospitalisation was essential for close surveillance, and antibiotics were administered to control microbial spread. After 3\u2009days, the patient was discharged in a stable condition and without any further complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>SFE may occur during subgingival air polishing, even during supportive periodontal therapy and at sites without bleeding on probing or suppuration. This case highlights that the safety of subgingival air\u2010polishing procedures should not be generalised across all devices and protocols. Careful case selection, strict adherence to device\u2010specific instructions, and early recognition of swelling and crepitus are essential for prompt diagnosis and management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/idh.70083","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T04:37:47Z","timestamp":1777869467000},"page":"808-813","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Subcutaneous Emphysema Following Subgingival Polishing Using an Air Polishing System With Subgingival Nozzle: A Case Report"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5373-7856","authenticated-orcid":false,"given":"Ramy Mubarak","family":"Hussein","sequence":"first","affiliation":[{"name":"Periodontology Department, Faculty of Oral and Dental Medicine Future University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9256-2961","authenticated-orcid":false,"given":"Sherif Abd","family":"el Rahman Amer","sequence":"additional","affiliation":[{"name":"Periodontology Department, Faculty of Oral and Dental Medicine Future University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8455-7938","authenticated-orcid":false,"given":"Sarah Gamal","family":"Moussa","sequence":"additional","affiliation":[{"name":"Periodontology Department, Faculty of Oral and Dental Medicine Future University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,3]]},"reference":[{"issue":"1","key":"e_1_2_10_2_1","first-page":"9","article-title":"Substance Loss Caused by Scaling With Different Sonic Scaler Inserts\u2014An in Vitro Study","volume":"28","author":"Kocher T.","year":"2001","journal-title":"Journal of Clinical Periodontology"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2020.103498"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-020-03198-4"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2009.090394"},{"issue":"6","key":"e_1_2_10_6_1","first-page":"453","article-title":"The Efficacy of Air Polishing Devices in Supportive Periodontal Therapy: A Systematic Review and Meta\u2010Analysis","volume":"49","author":"Ng E.","year":"2018","journal-title":"Quintessence International"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12289"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2011.110367"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/cre2.578"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40463-020-00455-0"},{"issue":"8","key":"e_1_2_10_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_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2008.12.050"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41415-021-3564-0"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/dj14030163"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12478"},{"key":"e_1_2_10_16_1","unstructured":"NSK Nakanishi Inc \u201cTip Guide: Ultrasonic Scaler.\u201dAvailable at:https:\/\/www.nskdental.com\/admin\/wp\u2010content\/uploads\/PR\u2010D1191ENv2_NAM_220926.pdf. Accessed April 12 2026."},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1515\/acm-2015-0011"},{"key":"e_1_2_10_18_1","first-page":"1","article-title":"Cervicofacial emphysema after a dental hygiene procedure: a case report","volume":"3","author":"Paiardi S.","year":"2018","journal-title":"Italian Journal of Emergency Medicine"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.17245\/jdapm.2024.24.6.421"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1988.59.5.315"},{"key":"e_1_2_10_21_1","first-page":"31","article-title":"Subcutaneous, Orbital, and Mediastinal Emphysema Secondary to the Use of an Air\u2010Abrasive Device","volume":"28","author":"Liebenberg W. H.","year":"1997","journal-title":"Quintessence International"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00106-011-2290-3"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.14295\/bds.2016.v19i3.1245"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/idh.12119"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/idh.12533"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/cre2.855"},{"key":"e_1_2_10_27_1","unstructured":"NSK Nakanishi Inc \u201cPerio Mate Operation Manual \u201davailable at https:\/\/www.uk.nsk\u2010dental.com\/admin\/wp\u2010content\/uploads\/OM\u2010T0438E003.pdf."},{"key":"e_1_2_10_28_1","unstructured":"Electro Medical Systems SA \u201cPERIOFLOW Instruction for Use\u201d."}],"container-title":["International Journal of Dental Hygiene"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/idh.70083","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/idh.70083","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/idh.70083","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T15:05:05Z","timestamp":1790694305000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/idh.70083"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,3]]},"references-count":27,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1111\/idh.70083"],"URL":"https:\/\/doi.org\/10.1111\/idh.70083","archive":["Portico"],"relation":{},"ISSN":["1601-5029","1601-5037"],"issn-type":[{"value":"1601-5029","type":"print"},{"value":"1601-5037","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,3]]},"assertion":[{"value":"2023-01-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}