Endodontic-related Paresthesia: A Case Report and Literature Review

Ahonen, Maria A.; Tjäderhane, Leo

doi:10.1016/j.joen.2011.06.016

Cited by 25 publications

(13 citation statements)

References 32 publications

(37 reference statements)

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“…Most of published cases of paresthesia related to endodontics might be caused by overinstrumentation and/or overfill of endodontic materials into the mandibular canal (1,10). IAN injuries have been reported in relation with endodontic treatment in second mandibular molars, because the distance between the apexes and the mandibular canal is often less than 1 mm.…”

Section: Discussionmentioning

confidence: 99%

“…Due to this, pain can be accompanied by local inflammatory signs with painful tooth to percussion, painful upon palpation of the buccal alveolar process or a combination of signs of mechanical trauma and inferior dental nerve inflammation with pain or numbness of the lower lip or otalgia (27). Some patients experience persistent anaesthesia (1,10,28,29). In the present case, symptoms occurred after one day, and pain was associated with paraesthesia.…”

Section: Discussionmentioning

confidence: 99%

“…Local factors are, for example, the use of local anesthetics, trauma, local infections, neoplasia, tooth extraction, and endodontic related complications. Systemic factors are, for example, microbial infections, multiple sclerosis, lymphoma, or diabetes mellitus (4,10). …”

Section: Introductionmentioning

confidence: 99%

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Pregabalin in the treatment of inferior alveolar nerve paraesthesia following overfilling of endodontic sealer

et al. 2014

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A case of orofacial pain and inferior alveolar nerve (IAN) paraesthesia after extrusion of endodontic sealer within the mandibular canal treated with prednisone and pregabalin is described. A 36-year-old woman underwent root canal treatment of the mandibular second right premolar tooth. Post-operative panoramic radiograph revealed the presence of radiopaque canal sealer in the mandibular canal. Damage to IAN consecutive to extrusion of endodontic sealer was diagnosed. Non-surgical management was decided, including: 1 mg/kg/day prednisone 2 times/day, once-daily regimen, and 150 mg/day pregabalin, two doses per day, monitoring the progress with periodic follow-up visits. Six weeks after the incident the signs and symptoms were gone. The complete resolution of paraesthesia and the control of pain achieved suggest that a non-surgical approach, combining prednisone and the GABA analogue pregabalin, is a good option in the management of the IAN damage subsequent to endodontic sealer extrusion. Key words:Endodontics, inferior alveolar nerve, neuropathic pain, orofacial pain, paraesthesia, pregabalin.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Pregabalin in the treatment of inferior alveolar nerve paraesthesia following overfilling of endodontic sealer

et al. 2014

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“…Pain can be accompanied by local inflammatory signs with the tooth painful on percussion, painful upon palpation of the buccal alveolar process or a combination of signs of mechanical trauma and inferior dental nerve inflammation with pain or numbness of the lower lip 19 . Paraesthesia might be caused by over-instrumentation, by the pressure of endodontic materials in the mandibular canal after its perforation 20,21 , by neurotoxic effects, reversible and irreversible blockage of nerve conduction, or by alteration of the nerve membrane potential 1,22 .…”

Section: Case Reportmentioning

confidence: 99%

Extrusion of root canal sealer in periapical tissues: Report of two cases with different treatment management and literature review

Dalopoulou

Economides

Evangelidis³

2017

Balkan J Dent Med

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“…2 Nonsurgical procedures such as endodontic treatment or local anesthesia administration have also been implicated. 3,4 From the literature, the incidence of inferior alveolar nerve (IAN) injury following removal of third molars has been reported to be 0.26% to 8.4%, 1 of which 0.81% to 5.7% 5 are transient and 0.7% 6 permanent. Lingual nerve (LN) sensory disturbance is typically reported between 0.1% and 8% 1 with transient injury as high as 23%.…”

mentioning

confidence: 99%