Paresthesia of nerve due to acute apical periodontitis of a non-vital tooth: report of two cases

  • Abstract
  • Keywords
  • References
  • PDF
  • Abstract

    Paresthesia or dysesthesia of the inferior alveolar nerve (IAN) as the result of endodontic treatment or periodontal disease is a rare but serious occurrence. This paper describes two cases of paresthesia and dysesthesia of the IAN due to acute apical periodontitis of a right mandibular second molar and a right mandibular second premolar in proximity to inferior alveolar canal. Symptoms of sensory disruption disappeared approximately 2 months after conventional endodontic treatment associated with antibiotic therapy. One year later both teeth were still asymptomatic.

    Keywords: Endodontic Pain, Inferior Alveolar Nerve, Injuries, Paresthesia.

  • References

    1. Yeler H, Oze I, Kili E (2004), Infection-related inferior alveolar and mental nerve paresthesia: case reports. Quintessence Int 35(4), 313-6.
    2. Zmener O (2004), mental nerve paresthesia associated with an adhesive resin restoration: A case report. J Endod 30, 117-9.
    3. Gallas-Torreire MM, Reboiras-Lopez MD, Garcia-Garcia A, Gandara-Rey J (2003), Mandibular nerve paresthesia caused by endodontic treatment .Med Oral 8, 299-303.
    4. Ograyd JF (1996), mental paresthesia: An ominous symptom. Case reports. Aus Dent J 41, 370-2.
    5. Goldberg MH, Galbraith DA (1984), late onset of Mandibular and lingual dysesthesia secondary to postextraction infection. Oral Surg 58, 269-271.
    6. Giuliani M, Lajolo C, Deli G, Silveri C (2001), Inferior alveolar nerve paresthesia caused by endodontic pathosis: A case report and review of the literature. Oral Surg Oral Med Oral Pathol 92, 670-4.
    7. Abbott PV (1997), Lower lip paresthesia following restoration of a second premolar tooth: case report. Aust Dent J 42, 297-301.
    8. Poveda R, Bagn JV, Fernndez JM, Sanchis JM (2006), mental nerve paresthesia associated with endodontic paste within the mandibular canal: report of a case. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 102(5), e46-9. Epub Sep 12.
    9. Di Lenarda R, Cadenaro M, Stacchi C (2000), Paresthesia of the mental nerve induced by periapical infection: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 90(6), 746-9.
    10. Kafas P, Upile T, Angouridakis N, Stavrianos C, Dabarakis N, Jerjes W (2009), Dysaesthesia in the mental nerve distribution triggered by a foreign body: a case report. Cases J 28, 2:169. doi: 10.1186/1757-1626-2-169.
    11. Ozkan BT, Celik S, Durmus E (2008), Paresthesia of the mental nerve stem from periapical infection of mandibular canine tooth: a case report. OralnSurg Oral Med Oral Pathol Oral RadiolEndod 105(5), 28-31.
    12. Pogrel MA (2007), Damage to the inferior alveolar nerve as the result of root canal therapy. J Am Dent Assoc 138, 65-9.
    13. Mohammadi Z (2010), Endodontics-related paresthesia of the mental and inferior alveolar nerves: an updated review. J Can Dent Assoc 76, a117.
    14. Morse DR (1997), Infection-related mental and inferior alveolar nerve paresthesia: literature review and presentation of two cases. J Endod 23, 457-460.
    15. Ellinston NK, Hoen MM (1996), Infectious transient dental paresthesia Gen Dent 44, 66-9.
    16. Seddon HI (1943), three types of nerve injury.Brain 66, 237-288.
    17. Becelli R, Renzi G, Carboni G (2002), Inferior alveolar nerve impairment after mandibular sagittal split osteotomy. An analysis of spontaneous recovery patterns observed in 60 patients. J Cranio of ac Surg 13, 315-320.
    18. Burstein J, Mastin C, Le B (2008), a voiding injury to the inferior alveolar nerve by routine use of interaoperative radiographs during implant placement. J Oral Implant 34, 34-8.
    19. Kim TS, Caruso JM, Christensen H, Torabinejad M (2010), A comparison of cone beam computed tomography and direct measurement in the examination of the mandibular canal and adjacent structures. J Endod 36, 1191-4.
    20. Denio D, Torabinejad M, Bakland LK (1992), Anatomical relationship of themandibular canal to its surrounding structure in mature mandibles .J Endod 18, 161-5.
    21. Tilotta-Yasukawa F, Millot S, El Haddioui A, Bravetti P, Gaudy JF (2006), Labiomandibular paresthesia caused by endodontic treatment: an anatomic and clinical study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 102, e47-59.
    22. Adiguzel O, Yigit-Ozer S, Kayal S, Akkus Z (2012), Patient-specific factors in the proximity of the inferior alveolar nerve to the tooth apex .Med Oral Patol Oral Cir Bucal 1, 17(6):e1103-8.
    23. Givol N, Rosen E, Bjrndal L, Taschieri S, Ofec R, Tsesis I (2011), Medico-legal aspects of altered sensation following endodontic treatment: a retrospective case series. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 112(1), 126-31. doi: 10.1016/j.tripleo.2011.01.007. Epub 2011 Mar 31.
    24. Givol N, Rosen E, Taicher S, Tsesis I (2010), Risk management in endodontics. J Endod 36, 982-4
    25. Bjrndal L, Reit C (2008), Endodontic malpractice claims in Denmark 1995-2004. Int Endod J 41, 1059-65
    26. Givol N, Taicher S, Halamish-Shani T, Chaushu G (2002), Risk management aspects of implant dentistry. Int J Oral Maxillofac Implants 17, 258-62.
    27. Gvotz KA, Al-Nawas B, de Aguiar EG, Schulz A, Wagner W (1998), Treatment of injuries to the inferior nerve after endodontic procedures.Clin Oral Investig 2,73-76.
    28. von ohle C, El ayouti A (2010), Neurosensory impairment of the mental nerve as a sequel of periapical report and review. Oral Surg Oral Med Oral Pathol Oral RadiolEndod 110, 84-89.
    29. Garisto GA, Gaffen AS, Lawrence HP, Tenenbaum HC, Haas DA (2010), Occurrence of paresthesia after dental local anesthetic administration in the United States. J Am Dent Assoc 141, 836-44.
    30. Scolozzi P, Lombardi T, Jaques B (2004), Successful inferior alveolar nerve decompression for dysesthesia following endodontic treatment: report of 4 cases treated by mandibular sagittal osteotomy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 97(5), 625-31.




Article ID: 2431
DOI: 10.14419/ijdr.v2i2.2431

Copyright © 2012-2015 Science Publishing Corporation Inc. All rights reserved.