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Delayed paresthesia of inferior alveolar nerve after dental surgery: case report and related pathophysiology

Journal of Dental Anesthesia and Pain Medicine 2018³â 18±Ç 3È£ p.177 ~ 182
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µµ·¡¹Ì ( Doh Re-Mee ) - Dankook University School of Dentistry Department of Advanced General Dentistry
½Å¼öÀÏ ( Shin Soo-Il ) - Dankook University School of Dentistry Department of Advanced General Dentistry
À¯Å¹Π( You Tae-Min ) - Dankook University School of Dentistry Department of Advanced General Dentistry

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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Delayed Paresthesia; Inferior Alveolar Nerve; Pathophysiology

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