Restorative Dentistry and Endodontics

  • 제37권4호
  • /
  • Pages.232-235
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  • 2012
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  • 2234-7658(pISSN)
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  • 2234-7666(eISSN)
대한치과보존학회 (The Korean Academy of Conservative Dentistry)
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Hypoesthesia after IAN block anesthesia with lidocaine: management of mild to moderate nerve injury

  • Moon, Sungjoo (Department of Conservative Dentistry, Yonsei University College of Dentistry) ;
  • Lee, Seung-Jong (Department of Conservative Dentistry, Yonsei University College of Dentistry) ;
  • Kim, Euiseong (Department of Conservative Dentistry, Yonsei University College of Dentistry) ;
  • Lee, Chan-Young (Department of Conservative Dentistry, Yonsei University College of Dentistry)
  • 투고 : 2012.08.06
  • 심사 : 2012.10.08
  • 발행 : 2012.12.01
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초록

Hypoesthesia after an inferior alveolar nerve (IAN) block does not commonly occur, but some cases are reported. The causes of hypoesthesia include a needle injury or toxicity of local anesthetic agents, and the incidence itself can cause stress to both dentists and patients. This case presents a hypoesthesia on mental nerve area followed by IAN block anesthesia with 2% lidocaine. Prescription of steroids for a week was performed and periodic follow up was done. After 1 wk, the symptoms got much better and after 4 mon, hypoesthesia completely disappeared. During this healing period, only early steroid medication was prescribed. In most cases, hypoesthesia is resolved within 6 mon, but being aware of etiology and the treatment options of hypoesthesia is important. Because the hypoesthesia caused by IAN block anesthesia is a mild to moderate nerve injury, early detection of symptom and prescription of steroids could be helpful for improvement of the hypoesthesia.

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참고문헌

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