title: Infection-related mental and inferior alveolar nerve paresthesia: literature review and presentation of two cases.
abstract: A review of the literature on infection-related mental and inferior alveolar nerve paresthesia is given. This is followed by 2 case reports. The first case is of a mandibular left second molar in which a chloropercha overfill puff occurred in the vicinity of the inferior alveolar canal. The tooth remained asymptomatic until 2 and 1/2 yr later, when the periapical lesion enlarged and swelling, pain, and paresthesia developed. The paresthesia resolved 2 weeks following periapical surgery. The second case is of a mandibular right first premolar in which paresthesia began 1 day after the initial endodontic treatment. The intracanal medication was formocresol on a cotton pellet that was squeezed dry. The paresthesia was treated by irrigation, antibiotics, and dexamethasone. The paresthesia lasted 7 weeks, and when it resolved the root canal was filled with gutta-percha/eucapercha. Almost 9 months later, the tooth remained asymptomatic.
authors.affiliation: Temple University School of Dentistry, Philadelphia, PA, USA.
authors.forename: D R
authors.initials: DR
authors.lastname: Morse
mesh_terms: D001641:Bicuspid; D002680:Chin / Q000294:innervation; D002908:Chronic Disease; D003131:Combined Modality Therapy; D003389:Cranial Nerve Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D005491:Focal Infection, Dental / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008297:Male; D008334:Mandible; D008340:Mandibular Nerve; D008875:Middle Aged; D008963:Molar; D010292:Paresthesia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D012390:Root Canal Therapy