Journal of Dental Anesthesia and Pain Medicine

The Korean Dental Society of Anesthsiology (대한치과마취과학회)
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Delayed paresthesia of inferior alveolar nerve after dental surgery: case report and related pathophysiology

  • Doh, Re-Mee (Department of Advanced General Dentistry, School of Dentistry, Dankook University) ;
  • Shin, Sooil (Department of Advanced General Dentistry, School of Dentistry, Dankook University) ;
  • You, Tae Min (Department of Advanced General Dentistry, School of Dentistry, Dankook University)
  • Received : 2018.05.29
  • Accepted : 2018.06.05
  • Published : 2018.06.30
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Abstract

Paresthesia is an altered sensation of the skin, manifesting as numbness, partial loss of local sensitivity, burning, or tingling. The inferior alveolar nerve (IAN) is the third branch of the trigeminal nerve and is very important in dental treatment. IAN paresthesia may occur after various dental procedures such as simple anesthetic injections, surgical procedures, and endodontic treatment, and is reported to range from 0.35% to 8.4%. The altered sensation usually follows immediately after the procedure, and reports of late onset of nerve involvement are rare. This report presents a rare case of delayed paresthesia after dental surgery and discusses the pathophysiology of IAN delayed paresthesia.

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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. Lvovsky A, Bachrach S, Kim HC, Pawar A, Levinzon O, Ben Itzhak J, et al. Relationship between Root Apices and the Mandibular Canal: A Cone-beam Computed Tomographic Comparison of 3 Populations. J Endod 2018; 44: 555-8. https://doi.org/10.1016/j.joen.2017.12.020
  5. 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
  6. Sarikov R, Juodzbalys G. Inferior alveolar nerve injury after mandibular third molar extraction: a literature review. J Oral Maxillofac Res 2014; 5: e1.
  7. Shavit I, Juodzbalys G. Inferior alveolar nerve injuries following implant placement - importance of early diagnosis and treatment: a systematic review. J Oral Maxillofac Res 2014; 5: e2.
  8. Cheung LK, Leung YY, Chow LK, Wong MC, Chan EK, Fok YH. Incidence of neurosensory deficits and recovery after lower third molar surgery: a prospective clinical study of 4338 cases. Int J Oral Maxillofac Surg 2010; 39: 320-6. https://doi.org/10.1016/j.ijom.2009.11.010
  9. Charan Babu HS, Reddy PB, Pattathan RK, Desai R, Shubha AB. Factors influencing lingual nerve paraesthesia following third molar surgery: a prospective clinical study. J Maxillofac Oral Surg 2013; 12: 168-72.
  10. 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.
  11. Flanagan D. Delayed onset of altered sensation following dental implant placement and mental block local anesthesia: a case report. Implant Dent 2002; 11: 324-30. https://doi.org/10.1097/00008505-200211040-00010
  12. Goldberg MH, Galbraith DA. Late onset of mandibular and lingual dysesthesia secondary to postextraction infection. Oral Surg Oral Med Oral Pathol 1984; 58: 269-71. https://doi.org/10.1016/0030-4220(84)90051-3
  13. Tolstunov L, Pogrel MA. Delayed paresthesia of inferior alveolar nerve after extraction of mandibular third molar: case report and possible etiology. J Oral Maxillofac Surg 2009; 67: 1764-6. https://doi.org/10.1016/j.joms.2009.03.057
  14. Smyth J, Marley J. An unusual delayed complication of inferior alveolar nerve block. Br J Oral Maxillofac Surg 2010; 48: 51-2. https://doi.org/10.1016/j.bjoms.2009.02.005
  15. 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
  16. Poort LJ, van Neck JW, van der Wal KG. Sensory testing of inferior alveolar nerve injuries: a review of methods used in prospective studies. J Oral Maxillofac Surg 2009; 67: 292-300. https://doi.org/10.1016/j.joms.2008.06.076
  17. Seddon HJ. Three types of nerve injury. Brain 1943; 66: 237-88. https://doi.org/10.1093/brain/66.4.237
  18. Donoff RB. Nerve regeneration: basic and applied aspects. Crit Rev Oral Biol Med 1995; 6: 18-24. https://doi.org/10.1177/10454411950060010201
  19. 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
  20. 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
  21. Blum IR. Contemporary views on dry socket (alveolar osteitis): a clinical appraisal of standardization, aetiopathogenesis and management: a critical review. Int J Oral Maxillofac Surg 2002; 31: 309-17. https://doi.org/10.1054/ijom.2002.0263

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