Nerve damage associated with inferior alveolar nerve blocks.
The authors reviewed 12 cases in which altered sensation occurred in the distribution of the inferior alveolar or lingual nerves following injection of a local anesthetic for restorative treatment only. Most patients suffered only partial damage, but recovery was poor. The exact mechanism of the nerve damage is unknown, but a number of theories are proposed. The extent of this problem is also unknown, but many more cases probably exist than have been reported to date.
Pogrel
M A
MA
Department of Oral and Maxillofacial Surgery, University of California, San Francisco 94143-0440, USA.
Bryan
J
J
Regezi
J
J
D000328:Adult; D000368:Aged; D000766:Anesthesia, Dental / Q000009:adverse effects*; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000009:adverse effects; D002814:Chorda Tympani Nerve / Q000293:injuries; D003793:Dental Restoration, Permanent; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage; D061222:Lingual Nerve Injuries; D008297:Male; D008619:Mepivacaine / Q000008:administration & dosage; D008875:Middle Aged; D009407:Nerve Block / Q000009:adverse effects*; D011318:Prilocaine / Q000008:administration & dosage; D012678:Sensation Disorders / Q000209:etiology; D014059:Tongue / Q000294:innervation; D061221:Trigeminal Nerve Injuries
D000779:Anesthetics, Local; D011318:Prilocaine; D008012:Lidocaine; D008619:Mepivacaine