Mental Nerve Paresthesia, a Complication of Anesthesia in Non-surgical Endodontic Treatment: A Case Report .

Q3 Dentistry
Rosmery Munguia-Osorio, Cesar Andre Zevallos-Quiroz
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引用次数: 0

Abstract

Paresthesia is described as a burning or prickling sensation or partial numbness caused by neurologic injury. The sensory loss may be the result of a reversible and/or irreversible nerve damage, and it can be caused by local or systemic factors. Local factors include traumatic injuries caused by impacted teeth, local injection, endodontic therapy, implant placement and exposure to toxic materials. This article reports a paresthesia by anesthetic injection. A 44-year-old man reported moderate pain during chewing and exposure to cold. Upon clinical examination, extension of the tooth fracture line was in the mesiodistal region of the mandibular left second premolar crown and was detected with 16× magnification of microscope. The diagnosis was cracked tooth syndrome, and root canal treatment was indicated. After the first appointment the patient reported altered sensation on left side of mandible, numbness and electric shock sensation, and therefore was diagnosed with mental nerve paresthesia. Diclofenac sodium, thiamine, cyanocobalamin, and pyridoxine were prescribed for 7 days as part of the treatment, and then root canal and restorative treatments were completed. Patient was scheduled for follow-up appointments after 1, 3, 6, and 8 months. After the first month, the feeling of paresthesia was still present and the patient was experiencing a painful "electric shock". At the 8-month follow-up visit, the paresthesia had been resolved with return of normal sensation.

精神神经感觉异常,麻醉在非手术根管治疗中的并发症:1例报告 。
感觉异常被描述为由神经损伤引起的灼烧或刺痛感或部分麻木。感觉丧失可能是可逆性和/或不可逆性神经损伤的结果,可由局部或全身因素引起。局部因素包括埋伏牙造成的外伤性损伤、局部注射、牙髓治疗、种植体放置和接触有毒物质。本文报告一例麻醉注射后的感觉异常。一名44岁男子报告咀嚼和受寒时有中度疼痛。经临床检查,牙断裂线延伸在下颌左第二前磨牙冠中远端,用16倍显微镜观察。诊断为牙裂综合征,行根管治疗。第一次预约后,患者报告左侧下颌骨感觉改变,麻木和电击感,因此被诊断为精神神经感觉异常。双氯芬酸钠、硫胺素、氰钴胺、吡哆醇治疗7天,完成根管治疗和修复治疗。随访时间分别为1、3、6、8个月。第一个月后,感觉异常的感觉仍然存在,病人正在经历痛苦的“电击”。在8个月的随访中,感觉异常消失,感觉恢复正常。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Iranian Endodontic Journal
Iranian Endodontic Journal Dentistry-Dentistry (all)
CiteScore
1.30
自引率
0.00%
发文量
0
审稿时长
12 weeks
期刊介绍: The Iranian Endodontic Journal (IEJ) is an international peer-reviewed biomedical publication, the aim of which is to provide a scientific medium of communication for researchers throughout the globe. IEJ aims to publish the highest quality articles, both clinical and scientific, on all aspects of Endodontics. The journal is an official Journal of the Iranian Center for Endodontic Research (ICER) and the Iranian Association of Endodontists (IAE). The Journal welcomes articles related to the scientific or applied aspects of endodontics e.g. original researches, systematic reviews, meta-analyses, review articles, clinical trials, case series/reports, hypotheses, letters to the editor, etc. From the beginning (i.e. since 2006), the IEJ was the first open access endodontic journal in the world, which gave readers free and instant access to published articles and enabling them faster discovery of the latest endodontic research.
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