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

Kumar, Umesh; Kaur, Charan Kamal; Vashisht, Ruchi; Rattan, Vidya

doi:10.17245/jdapm.2020.20.2.95

Cited by 2 publications

(3 citation statements)

References 9 publications

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“…The most common etiological factors of paresthesias are associated with surgical procedures such as exodontia of lower posterior teeth. Infections of endodontic origin are reported as etiologic factors, but the frequency of this occurrence is low (Kumar et al 2020). In this case report, the paresthesia was caused by a periapical lesion resulting from an endodontic infection.…”

Section: Discussionmentioning

confidence: 75%

Inferior alveolar nerve paresthesia of endodontic origin: diagnosis and follow-up using Cone-beam computed tomography

Pinheiro Dias,

Albach,

Fischborn

et al. 2023

CLIUM

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Oral paresthesias are usually associated with pathological conditions and surgical procedures on teeth adjacent to the mandibular canal. The most affected nerve is the inferior alveolar nerve. This clinical case reported a paresthesia of endodontic origin with remission after endodontic treatment. Initially, a patient reported severe pain in tooth 45. After 2 days, sensory disturbances were observed, characterized by numbness in the lower lip and right hemimandible. Thirty days after treatment, the patient reported sudden regression of this condition, days before the evaluation. After 10 and 15 months, follow-up CBCT scans were performed and revealed areas of bone neofomation in the region of the periapical lesion, suggestive of repair of the inflammatory process. During these follow-ups, the patient reported no sensory changes or pain symptoms. The use of computed tomography was a relevant strategy in this case because it provides three-dimensional images that allow detailed evaluation of the region.

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Section: Discussionmentioning

confidence: 75%

Inferior alveolar nerve paresthesia of endodontic origin: diagnosis and follow-up using Cone-beam computed tomography

Pinheiro Dias,

Albach,

Fischborn

et al. 2023

CLIUM

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“…A mental foramen (AMF) can also be present, along with various nerve fibers (Figu 6]. Possible damage of the mental nerve can be caused by various factors, such as trauma (mandibular fracture); endodontic treatment of mandibular premolars and surgery close to this premolar area (iatrogenic factors (cyst removal)); periapical cyst, abscess, and inflammatory/periapical infections; tumor spread (oral cancer, leukemia, lymphoma (Vincent Sign, tumor spread into the nerve structure)); orthognathic surgery (BSSO-Bilateral Sagittal Split Osteotomy/genioplasty, chin wing approaches); damage to the nerve after abscess drainage; lower lip mucocele removal/labial minor salivary gland retention cyst (nerve fiber damage); local anesthesia administration; compression of the nerve and adjacent tissue pulling; or others [4][5][6][7][8][9][10]. These factors might cause transient or permanent paresthesia.…”

Section: Introductionmentioning

confidence: 99%

“…Mental nerve paresthesia (MNP) is reported to be a cause of dental treatment (dental implant, trauma, endodontic approaches) in approximately 15-20% of cases. On the other hand, according to the Chai et al study, because of growing interest in the transoral endoscopic thyroidectomy vestibular approach (TOETVA), many studies indicate that because of the following, in order to minimize MN damage, special anatomical landmarks should be used [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

The Temporary Mental Nerve Paresthesia as an Outcome of Dentigerous Cyst Removal during Preparation for Dental Implant Placement: A Case Report

et al. 2023

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The usage of xenograft material is widely used in almost all oral cavity bone defects for regenerative and reconstructive purposes. The presented xenograft usage in the following care report enabled good bone defect healing and enabled the preservation of affected premolars. It is quite common to use any possible variations of bone materials to ensure bone defect improved healing. In some cases, the scope of surgeries requires the removal of each cyst within close proximity to various nerves and vessels. The inferior alveolar, infraorbital, lingual, and mental nerves are those most commonly adjacent to most operating sites in jaw bones. The usage of some additional materials such as collagen sponges, bone substitutes, resorbable membranes, or other additional materials are useful in each bone defect reconstruction but should be handled with care, as described in the following case. Before planning their usage, it is important to perform each surgery with close cone beam computed tomography imaging, which is very helpful to establish the scope of each lesion and the proximity of vital structures. There are a lot of factors that might influence any possible nerve damage, especially the different nerve anatomical variations. Even factors including the subperiosteal preparation and compression of adjacent tissues might influence later nerve function. When the lesion is expanding through the buccal cortical plate and when soft tissue fluctuation is present, some special care is needed. Similar to the presented case, a limitation in crushing, blowing, or any irritation of nerve fibers improves later postoperative outcomes. When the wound and surrounding tissues are handled with care, a limited possibility of any damage or paresthesia can occur. When the nerve itself is damaged or cut, loss of function can be permanent. Immediately after or even prophylactic prescription 1–2 days before the surgery of Vitamin B with NSAIDs (Non-steroidal anti-inflammatory drugs) (or other additional supplementary medicaments can improve nerve function in time. Possible nerve damage can be divided into many etiological factors. A quite different situation arises when the nerve is pulled in by the cyst growth into the cyst wall. The presented case report describes the outcomes of a cyst removal from the mandibular basis and treatment modalities.

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

Cited by 2 publications

References 9 publications

Inferior alveolar nerve paresthesia of endodontic origin: diagnosis and follow-up using Cone-beam computed tomography

Inferior alveolar nerve paresthesia of endodontic origin: diagnosis and follow-up using Cone-beam computed tomography

The Temporary Mental Nerve Paresthesia as an Outcome of Dentigerous Cyst Removal during Preparation for Dental Implant Placement: A Case Report

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