Читать книгу Management of Complications in Oral and Maxillofacial Surgery - Группа авторов - Страница 96

The rare, fatal complication of air embolism has been associated with dental implant placement. In all cases described in the literature, air was introduced into the cancellous marrow spaces in the mandible forming an air embolism propagated into the venous system. The air embolus then travels to the superior vena cava and subsequently into the right atrium resulting in cardiopulmonary collapse, leading to cardiac arrest. In all reported cases, implant drills with a combination of air and water internal irrigation were used. This complication can be prevented by using implant drills that are not air‐driven, and do not have irrigation systems that are driven by air pressure. This complication is not limited to implant surgery, as several incidents have been reported in patients undergoing other dental‐related procedures. Again, in these cases, air–water‐driven irrigated drills have been implicated as the source of the introduction of air into the venous system.