DOI QR코드

DOI QR Code

Paresthesia diagnosed using cone-beam computed tomography: a case report

  • Kumar, Umesh (Unit of Conservative Dentistry & Endodontics, Oral Health Sciences Centre, Post Graduate Institute of Medical Education & Research (PGIMER)) ;
  • Kaur, Charan Kamal (Medical Officer (Dental), Government Multispecialty Hospital) ;
  • Vashisht, Ruchi (Unit of Conservative Dentistry & Endodontics, Oral Health Sciences Centre, Post Graduate Institute of Medical Education & Research (PGIMER)) ;
  • Rattan, Vidya (Unit of Oral and Maxillofacial Surgery, Oral Health Sciences Centre, Post Graduate Institute of Medical Education & Research (PGIMER))
  • Received : 2019.02.04
  • Accepted : 2020.03.29
  • Published : 2020.04.29

Abstract

Various dental procedures, such as injection administration, surgical treatment, and endodontic treatment, can cause injury to the nerves. The most commonly injured nerves are the inferior alveolar and lingual nerves. This can manifest as altered sensation to the area of innervation of the injured nerve, such as the lower lip, chin, teeth, tongue, and mucosa. Altered sensations or loss of sensation are relatively infrequent complications in daily dental practice. Here, we report an uncommon case of altered sensation in the midfacial region caused by an endodontic procedure and discuss the need to consider local dental causes in the differential diagnosis of numbness in the facial region.

Keywords

References

  1. Ahmad M. The anatomical nature of dental paresthesia: a quick review. Open Dent J 2018; 12: 155-9. https://doi.org/10.2174/1874210601812010155
  2. Shadmehr E, Shekarchizade N. Endodontic periapical lesion-induced mental nerve paresthesia. Dent Res J 2015; 12: 192-6.
  3. Smith MH, Lung KE. Nerve injuries after dental injection: a review of the literature. J Can Dent Assoc 2006; 72: 559-64.
  4. Devine M, Hirani M, Durham J, Nixdorf DR, Renton T. Identifying criteria for diagnosis of post-traumatic pain and altered sensation of the maxillary and mandibular branches of the trigeminal nerve: a systematic review. Oral Surg Oral Med Oral Pathol Oral Radiol 2018; 125: 526-40. https://doi.org/10.1016/j.oooo.2017.12.020
  5. Kipp DP, Goldstein BH, Weiss WW Jr. Dysesthesia after mandibular third molar surgery: a retrospective study and analysis of 1,377 surgical procedures. J Am Dent Assoc 1980; 100: 185-92. https://doi.org/10.14219/jada.archive.1980.0074
  6. Di Lenarda R, Cadenaro M, Stacchi C. Paresthesia of the mental nerve induced by periapical infection: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 90: 746-9. https://doi.org/10.1067/moe.2000.110418
  7. Borgonovo A, Bianchi A, Marchetti A, Censi R, Maiorana C. An uncommon clinical feature of IAN injury after third molar removal: a delayed paresthesia case series and literature review. Quintessence Int 2012; 43: 353-9.
  8. Morse DR. Endodontic-related inferior alveolar nerve and mental foramen paresthesia. Compend Contin Educ Dent 1997; 18: 963-8, 970-3, 976-8.
  9. Ozkan BT, Celik S, Durmus E. Paresthesia of the mental nerve stem from periapical infection of mandibular canine tooth: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 105: e28-31. https://doi.org/10.1016/j.tripleo.2008.01.023
  10. Di Lenarda R, Cadenaro M, Stacchi C. Paresthesia of the mental nerve induced by periapical infection: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 90: 746-9. https://doi.org/10.1067/moe.2000.110418
  11. Donoff RB. Nerve regeneration: basic and applied aspects. Crit Rev Oral Biol Med 1995; 6: 18-24. https://doi.org/10.1177/10454411950060010201
  12. Seddon HJ. Three types of nerve injury. Brain 1943; 66: 237-88. https://doi.org/10.1093/brain/66.4.237
  13. Campbell WW. Evaluation and management of peripheral nerve injury. Clin Neurophysiol 2008; 119: 1951-65. https://doi.org/10.1016/j.clinph.2008.03.018
  14. Dahlin LB, Danielsen N, Ehira T, Lundborg G, Rydevik B. Mechanical effects of compression of peripheral nerves. J Biomech Eng 1986; 108: 120-2. https://doi.org/10.1115/1.3138590