Successful inferior alveolar nerve decompression for dysesthesia following endodontic treatment: report of 4 cases treated by mandibular sagittal osteotomy
| Autor: | Tommaso Lombardi, Paolo Scolozzi, Bertrand Jaques |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty Silver Decompression Mandibular Nerve medicine.medical_treatment Mandibular canal Dentistry Mandible Inferior alveolar nerve Osteotomy Hypesthesia Root Canal Filling Materials Root Canal Obturation medicine Humans Paresthesia General Dentistry Aged Titanium Dysesthesia Epoxy Resins business.industry Nerve Compression Syndromes Hypoesthesia Middle Aged Decompression Surgical Sagittal plane Surgery Drug Combinations medicine.anatomical_structure Otorhinolaryngology Female Trigeminal Nerve Injuries Gutta-Percha Oral Surgery medicine.symptom business Bismuth Follow-Up Studies |
| Zdroj: | Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 97:625-631 |
| ISSN: | 1079-2104 |
| DOI: | 10.1016/j.tripleo.2004.01.002 |
| Popis: | Endodontic overfilling involving the mandibular canal may cause an injury of the inferior alveolar nerve (IAN) resulting in disabling sensory disturbances such as pain, dysesthesia, paresthesia, hypoesthesia, or anesthesia. Two fundamental mechanisms are responsible for the injury: the chemical neurotoxicity and the mechanical compression caused by the extruded material. Although spontaneous resorption has been described for some materials, early surgical exploration with removal of the material and decompression of the IAN should be performed, irrespective of the material used, given that the importance of nerve damage increases with the duration of the injury. We report 4 cases of disabling dysesthesia and paresthesia following endodontic treatment of lower molars in which sagittal osteotomy was used to remove the endodontic paste and to perform nerve decompression. All the patients experienced immediate relief of dysesthesia and paresthesia. |
| Databáze: | OpenAIRE |
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