title: Mental nerve paresthesia secondary to initiation of endodontic therapy: a case report.
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.
authors.affiliation: Department of Conservative Dentistry, Dr. Z. A. Dental College, Aligarh Muslim University, Aligarh, India.
authors.forename: Syed Mukhtar-Un-Nisar
authors.initials: SM
authors.lastname: Andrabi
authors.affiliation: Department of Conservative Dentistry, Dr. Z. A. Dental College, Aligarh Muslim University, Aligarh, India.
authors.forename: Sharique
authors.initials: S
authors.lastname: Alam
authors.affiliation: Department of Periodontics & Community Dentistry, Dr. Z. A. Dental College, Aligarh Muslim University, Aligarh, India.
authors.forename: Afaf
authors.initials: A
authors.lastname: Zia
authors.affiliation: Department of Oral Pathology, Dr. Z. A. Dental College, Aligarh Muslim University, Aligarh, India.
authors.forename: Masood Hasan
authors.initials: MH
authors.lastname: Khan
authors.affiliation: Department of Conservative Dentistry, Dr. Z. A. Dental College, Aligarh Muslim University, Aligarh, India.
authors.forename: Ashok
authors.initials: A
authors.lastname: Kumar
keywords: Endodontic treatment; Mental nerve; Paresthesia; Periapical infection
references.citation: Crit Rev Oral Biol Med. 1995;6(1):18-24
references.pmid: 7632865
references.citation: J Endod. 2007 Dec;33(12):1484-9
references.pmid: 18037065
references.citation: J Can Dent Assoc. 2010;76:a117
references.pmid: 21118633
references.citation: Restor Dent Endod. 2012 Nov;37(4):232-5
references.pmid: 23430216
references.citation: Baillieres Clin Haematol. 1995 Sep;8(3):567-601
references.pmid: 8534962
references.citation: J Am Dent Assoc. 2007 Jan;138(1):65-9
references.pmid: 17197403
references.citation: J Endod. 2004 Feb;30(2):117-9
references.pmid: 14977311
references.citation: Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008 Sep;106(3):e80-3
references.pmid: 18602848
references.citation: Dent Update. 2010 Jul-Aug;37(6):350-2, 354-6, 358-60 passim
references.pmid: 20929149
references.citation: J Endod. 1997 Jul;23(7):457-60
references.pmid: 9587302
references.citation: J Endod. 2003 Nov;29(11):768-70
references.pmid: 14651287
references.citation: Br J Haematol. 2010 Jan;148(2):195-204
references.pmid: 19832808
references.citation: J Craniofac Surg. 2002 Mar;13(2):315-20
references.pmid: 12000896
references.citation: Br Dent J. 1998 Apr 11;184(7):330-2
references.pmid: 9599885