Prognosis of a case with paresthesia associated with prolonged touching of an endodontic paste to the inferior alveolar nerve
- Autores: M. Cemil Buyukkurt, Hakan Arslan, H. Sinan Topcuoglu, M. Melih Omezli
- Localización: Journal of Clinical and Experimental Dentistry, ISSN-e 1989-5488, Vol. 3, Nº. 4, 1 (noviembre), 2011 (Ejemplar dedicado a: Suplemento), págs. 377-381
- Idioma: inglés
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Resumen
Paresthesia is described as an abnormal sensation, such as burning, pricking, tickling, tingling, formication or numbness.
Several conditions can cause paresthesia. This article presents a case of paresthesia caused by the extrusion of endodontic paste (Endomethasone®) into the mandibular canal. The clinical manifestations comprised the numbness on the right side of the mandible and right lower lip, appearing after endodontic treatment. After a mandibular block and infiltration anesthesia a mucoperiostal flap was raised and the extruded Endomethasone® was removed successfully. A therapy with antibiotic, B vitamin complex and an analgesic were prescribed. The patient reported an improvement in pain and headache after one week later and in burning after two weeks. After a four months follow-up, she became symptom free. Also sixteen months later she had any symptoms. Normalization of sensation shows that the neurotoxic effects of Endomethasone® are reversible after more than one month from the first touch of Endomethasone® to the inferior alveolar nerve
