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Mental nerve paresthesia secondary to initiation of endodontic therapy: a case report.

Andrabi SM, Alam S, Zia A, Khan MH, Kumar A - Restor Dent Endod (2014)

Bottom Line: Acute periapical infection in mandibular posterior teeth may also sometimes disturb the normal functioning of the inferior alveolar nerve.Altered sensation and pain in the involved areas may interfere with speaking, eating, drinking, shaving, tooth brushing and other events of social interaction which will have a disturbing impact on the patient.Permanent paresthesia is the result of nerve trunk laceration or actual total nerve damage.

View Article: PubMed Central - PubMed

Affiliation: Department of Conservative Dentistry, Dr. Z. A. Dental College, Aligarh Muslim University, Aligarh, India.

ABSTRACT
Whenever endodontic therapy is performed on mandibular posterior teeth, damage to the inferior alveolar nerve or any of its branches is possible. Acute periapical infection in mandibular posterior teeth may also sometimes disturb the normal functioning of the inferior alveolar nerve. The most common clinical manifestation of these insults is the paresthesia of the inferior alveolar nerve or mental nerve paresthesia. Paresthesia usually manifests as burning, prickling, tingling, numbness, itching or any deviation from normal sensation. Altered sensation and pain in the involved areas may interfere with speaking, eating, drinking, shaving, tooth brushing and other events of social interaction which will have a disturbing impact on the patient. Paresthesia can be short term, long term or even permanent. The duration of the paresthesia depends upon the extent of the nerve damage or persistence of the etiology. Permanent paresthesia is the result of nerve trunk laceration or actual total nerve damage. Paresthesia must be treated as soon as diagnosed to have better treatment outcomes. The present paper describes a case of mental nerve paresthesia arising after the start of the endodontic therapy in left mandibular first molar which was managed successfully by conservative treatment.

No MeSH data available.


Related in: MedlinePlus

(a) Pre-operative Radiograph; (b) Working length radiograph.
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Figure 2: (a) Pre-operative Radiograph; (b) Working length radiograph.

Mentions: On examination with a dental probe, the area of numbness was found, extending from the mandibular midline to the left second premolar both intraorally and extraorally (Figures 1a and 1b). There was no deviation in sensory response of gingiva and tongue on probing. The left mandibular first molar showed unremoved proximal carious lesion (DO) and a temporary restoration placed in the access cavity with the tooth in occlusion. Intra-oral periapical radiograph revealed apical periodontal ligament widening in relation to both mesial and distal roots and slight apical root resorption in distal root (Figure 2a). After complete evaluation, diagnosis of acute apical periodontitis with mental nerve paresthesia was established and with the written informed consent of the patient it was decided to carry on the endodontic treatment along with the conservative management of paresthesia.


Mental nerve paresthesia secondary to initiation of endodontic therapy: a case report.

Andrabi SM, Alam S, Zia A, Khan MH, Kumar A - Restor Dent Endod (2014)

(a) Pre-operative Radiograph; (b) Working length radiograph.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4125586&req=5

Figure 2: (a) Pre-operative Radiograph; (b) Working length radiograph.
Mentions: On examination with a dental probe, the area of numbness was found, extending from the mandibular midline to the left second premolar both intraorally and extraorally (Figures 1a and 1b). There was no deviation in sensory response of gingiva and tongue on probing. The left mandibular first molar showed unremoved proximal carious lesion (DO) and a temporary restoration placed in the access cavity with the tooth in occlusion. Intra-oral periapical radiograph revealed apical periodontal ligament widening in relation to both mesial and distal roots and slight apical root resorption in distal root (Figure 2a). After complete evaluation, diagnosis of acute apical periodontitis with mental nerve paresthesia was established and with the written informed consent of the patient it was decided to carry on the endodontic treatment along with the conservative management of paresthesia.

Bottom Line: Acute periapical infection in mandibular posterior teeth may also sometimes disturb the normal functioning of the inferior alveolar nerve.Altered sensation and pain in the involved areas may interfere with speaking, eating, drinking, shaving, tooth brushing and other events of social interaction which will have a disturbing impact on the patient.Permanent paresthesia is the result of nerve trunk laceration or actual total nerve damage.

View Article: PubMed Central - PubMed

Affiliation: Department of Conservative Dentistry, Dr. Z. A. Dental College, Aligarh Muslim University, Aligarh, India.

ABSTRACT
Whenever endodontic therapy is performed on mandibular posterior teeth, damage to the inferior alveolar nerve or any of its branches is possible. Acute periapical infection in mandibular posterior teeth may also sometimes disturb the normal functioning of the inferior alveolar nerve. The most common clinical manifestation of these insults is the paresthesia of the inferior alveolar nerve or mental nerve paresthesia. Paresthesia usually manifests as burning, prickling, tingling, numbness, itching or any deviation from normal sensation. Altered sensation and pain in the involved areas may interfere with speaking, eating, drinking, shaving, tooth brushing and other events of social interaction which will have a disturbing impact on the patient. Paresthesia can be short term, long term or even permanent. The duration of the paresthesia depends upon the extent of the nerve damage or persistence of the etiology. Permanent paresthesia is the result of nerve trunk laceration or actual total nerve damage. Paresthesia must be treated as soon as diagnosed to have better treatment outcomes. The present paper describes a case of mental nerve paresthesia arising after the start of the endodontic therapy in left mandibular first molar which was managed successfully by conservative treatment.

No MeSH data available.


Related in: MedlinePlus