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Mental nerve paresthesia secondary to initiation of endodontic therapy: a case report

Restorative Dentistry & Endodontics 2014³â 39±Ç 3È£ p.215 ~ 219
Andrabi Syed Mukhtar-Un-Nisar, Alam Sharique, Zia Afaf, Khan Masood Hasan, Kumar Ashok,
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 ( Andrabi Syed Mukhtar-Un-Nisar ) - India Aligarh Muslim University Dr. Z. A. Dental College Department of Conservative Dentistry
 ( Alam Sharique ) - India Aligarh Muslim University Dr. Z. A. Dental College Department of Conservative Dentistry
 ( Zia Afaf ) - Aligarh Muslim University Dr. Z. A. Dental College Department of Periodontics & Community Dentistry
 ( Khan Masood Hasan ) - Aligarh Muslim University Dr. Z. A. Dental College Department of Oral Pathology
 ( Kumar Ashok ) - India Aligarh Muslim University Dr. Z. A. Dental College Department of Conservative Dentistry

Abstract


Whenever endodontic therapy is performed on mandibular posterior teeth, damage to the inferior alveolar nerve or any of its branches is possible. Acute periapical infection in mandibular posterior teeth may also sometimes disturb the normal functioning of the inferior alveolar nerve. The most common clinical manifestation of these insults is the paresthesia of the inferior alveolar nerve or mental nerve paresthesia. Paresthesia usually manifests as burning, prickling, tingling, numbness, itching or any deviation from normal sensation. Altered sensation and pain in the involved areas may interfere with speaking, eating, drinking, shaving, tooth brushing and other events of social interaction which will have a disturbing impact on the patient. Paresthesia can be short term, long term or even permanent. The duration of the paresthesia depends upon the extent of the nerve damage or persistence of the etiology. Permanent paresthesia is the result of nerve trunk laceration or actual total nerve damage. Paresthesia must be treated as soon as diagnosed to have better treatment outcomes. The present paper describes a case of mental nerve paresthesia arising after the start of the endodontic therapy in left mandibular first molar which was managed successfully by conservative treatment.

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Endodontic treatment; Mental nerve; Paresthesia; Periapical infection

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