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Successful inferior alveolar nerve decompression for dysesthesia following endodontic treatment: report of 4 cases treated by mandibular sagittal osteotomy.
Journal article

Successful inferior alveolar nerve decompression for dysesthesia following endodontic treatment: report of 4 cases treated by mandibular sagittal osteotomy.

  • Scolozzi P Department of Otolaryngology/Head and Neck Surgery, Division of Oral and Maxillofacial Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland. scolozzi@hotmail.com
  • Lombardi T
  • Jaques B
  • 2004-05-22
Published in:
  • Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics. - 2004
Adult
Aged
Bismuth
Decompression, Surgical
Drug Combinations
Epoxy Resins
Female
Follow-Up Studies
Gutta-Percha
Humans
Hypesthesia
Male
Mandible
Mandibular Nerve
Middle Aged
Nerve Compression Syndromes
Osteotomy
Paresthesia
Root Canal Filling Materials
Root Canal Obturation
Silver
Titanium
Trigeminal Nerve Injuries
English 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.
Language
  • English
Identifiers
Persistent URL
https://sonar.ch/global/documents/277938
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