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

Authors and Affiliations

  • Maryam Mojtahed Bidabadi , Post-grad student of endodontics, Dental school, Shahid Beheshti university of medical science,Tehran, Iran
  • Hengameh Ashraf
  • Pejman Arjmand Inaloo Dentist
  • Soheila Darmiani , Post-grad student of endodontics, Dental school, Shahid Beheshti university of medical science,Tehran, Iran

About this article

Download 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

Yeler H, Ozeç I, Kiliç E (2004), Infection-related inferior alveolar and mental nerve paresthesia: case reports. Quintessence Int 35(4), 313-6.

Zmener O (2004), mental nerve paresthesia associated with an adhesive resin restoration: A case report. J Endod 30, 117-9.

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.

Ograyd JF (1996), mental paresthesia: An ominous symptom. Case reports. Aus Dent J 41, 370-2.

Goldberg MH, Galbraith DA (1984), late onset of Mandibular and lingual dysesthesia secondary to postextraction infection. Oral Surg 58, 269-271.

View more references (25)

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.

Abbott PV (1997), Lower lip paresthesia following restoration of a second premolar tooth: case report. Aust Dent J 42, 297-301.

Poveda R, Bagán JV, Fernández 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.

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.

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.

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.

Pogrel MA (2007), Damage to the inferior alveolar nerve as the result of root canal therapy. J Am Dent Assoc 138, 65-9.

Mohammadi Z (2010), Endodontics-related paresthesia of the mental and inferior alveolar nerves: an updated review. J Can Dent Assoc 76, a117.

Morse DR (1997), Infection-related mental and inferior alveolar nerve paresthesia: literature review and presentation of two cases. J Endod 23, 457-460.

Ellinston NK, Hoen MM (1996), Infectious transient dental paresthesia Gen Dent 44, 66-9.

Seddon HI (1943), three types of nerve injury.Brain 66, 237-288.

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.

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.

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.

Denio D, Torabinejad M, Bakland LK (1992), Anatomical relationship of themandibular canal to its surrounding structure in mature mandibles .J Endod 18, 161-5.

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.

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.

Givol N, Rosen E, Bjørndal 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.

Givol N, Rosen E, Taicher S, Tsesis I (2010), Risk management in endodontics. J Endod 36, 982-4

Bjørndal L, Reit C (2008), Endodontic malpractice claims in Denmark 1995-2004. Int Endod J 41, 1059-65

Givol N, Taicher S, Halamish-Shani T, Chaushu G (2002), Risk management aspects of implant dentistry. Int J Oral Maxillofac Implants 17, 258-62.

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.

von ohle C, El ayouti A (2010), Neurosensory impairment of the mental nerve as a sequel of periapical periodontitis.case report and review. Oral Surg Oral Med Oral Pathol Oral RadiolEndod 110, 84-89.

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.

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.


How to Cite

Mojtahed Bidabadi, M., Ashraf, H., Arjmand Inaloo, P., & Darmiani, S. (2014). Paresthesia of nerve due to acute apical periodontitis of a non-vital tooth: report of two cases. Journal of Oral and Dental Sciences, 2(2), 37-39. https://doi.org/10.14419/ijdr.v2i2.2431