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Endodontic periapical lesion-induced mental nerve paresthesia.

Shadmehr E, Shekarchizade N - Dent Res J (Isfahan) (2015 Mar-Apr)

Bottom Line: Paresthesia is a burning or prickling sensation or partial numbness, resulting from neural injury.The symptoms can vary from mild neurosensory dysfunction to total loss of sensation in the innervated area.Only a few cases have described apical periodontitis to be the etiological factor of impaired sensation in the area innervated by the inferior alveolar and mental nerves.

View Article: PubMed Central - PubMed

Affiliation: Dental Materials Reseach Center and Department of Endodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.

ABSTRACT
Paresthesia is a burning or prickling sensation or partial numbness, resulting from neural injury. The symptoms can vary from mild neurosensory dysfunction to total loss of sensation in the innervated area. Only a few cases have described apical periodontitis to be the etiological factor of impaired sensation in the area innervated by the inferior alveolar and mental nerves. The aim of the present paper is to report a case of periapical lesion-induced paresthesia in the innervation area of the mental nerve, which was successfully treated with endodontic retreatment.

No MeSH data available.


Related in: MedlinePlus

Radiograph: (a) Diagnostic radiograph before retreatment and approximation of mental foramen to apex of left mandibular second premolar, (b) working length radiograph, (c) control radiograph after root canal filling
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Figure 3: Radiograph: (a) Diagnostic radiograph before retreatment and approximation of mental foramen to apex of left mandibular second premolar, (b) working length radiograph, (c) control radiograph after root canal filling

Mentions: After 4 weeks, the patient reported complete relieve of the paresthesia. Therefore, the root canals were obturated with Gutta-percha (Gapadent Co. Ltd., Korea) and AH-plus sealer (Dentsply, Maillefer, Germany) using the lateral condensation technique and a final restoration were placed with amalgam build up [Figure 3]. Follow-ups were scheduled at 3-, 6-, 9-, 12- and 18-month intervals. At final follow-up, radiograph showed a normal structure of the periodontal ligament (PDL) and surrounding bone of the mandibular first molar and second premolar. Patient had no complaint of neurosensory dysfunction of the area innervated by the mental nerve.


Endodontic periapical lesion-induced mental nerve paresthesia.

Shadmehr E, Shekarchizade N - Dent Res J (Isfahan) (2015 Mar-Apr)

Radiograph: (a) Diagnostic radiograph before retreatment and approximation of mental foramen to apex of left mandibular second premolar, (b) working length radiograph, (c) control radiograph after root canal filling
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4387634&req=5

Figure 3: Radiograph: (a) Diagnostic radiograph before retreatment and approximation of mental foramen to apex of left mandibular second premolar, (b) working length radiograph, (c) control radiograph after root canal filling
Mentions: After 4 weeks, the patient reported complete relieve of the paresthesia. Therefore, the root canals were obturated with Gutta-percha (Gapadent Co. Ltd., Korea) and AH-plus sealer (Dentsply, Maillefer, Germany) using the lateral condensation technique and a final restoration were placed with amalgam build up [Figure 3]. Follow-ups were scheduled at 3-, 6-, 9-, 12- and 18-month intervals. At final follow-up, radiograph showed a normal structure of the periodontal ligament (PDL) and surrounding bone of the mandibular first molar and second premolar. Patient had no complaint of neurosensory dysfunction of the area innervated by the mental nerve.

Bottom Line: Paresthesia is a burning or prickling sensation or partial numbness, resulting from neural injury.The symptoms can vary from mild neurosensory dysfunction to total loss of sensation in the innervated area.Only a few cases have described apical periodontitis to be the etiological factor of impaired sensation in the area innervated by the inferior alveolar and mental nerves.

View Article: PubMed Central - PubMed

Affiliation: Dental Materials Reseach Center and Department of Endodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.

ABSTRACT
Paresthesia is a burning or prickling sensation or partial numbness, resulting from neural injury. The symptoms can vary from mild neurosensory dysfunction to total loss of sensation in the innervated area. Only a few cases have described apical periodontitis to be the etiological factor of impaired sensation in the area innervated by the inferior alveolar and mental nerves. The aim of the present paper is to report a case of periapical lesion-induced paresthesia in the innervation area of the mental nerve, which was successfully treated with endodontic retreatment.

No MeSH data available.


Related in: MedlinePlus