Delayed onset of altered sensation following dental implant placement and mental block local anesthesia: a case report.
Identifieur interne : 008278 ( Main/Exploration ); précédent : 008277; suivant : 008279Delayed onset of altered sensation following dental implant placement and mental block local anesthesia: a case report.
Auteurs : Dennis FlanaganSource :
- Implant dentistry [ 1056-6163 ] ; 2002.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Anesthésie dentaire (effets indésirables), Anesthésie locale (effets indésirables), Bloc nerveux (effets indésirables), Complications postopératoires, Femelle, Humains, Hypoesthésie (étiologie), Implants dentaires (effets indésirables), Maladies de la lèvre (étiologie), Mandibule (), Mandibule (imagerie diagnostique), Menton (innervation), Mâchoire édentée (), Mâchoire édentée (imagerie diagnostique), Nerf mandibulaire (physiologie), Ostéotomie, Piliers dentaires, Pose d'implant dentaire endo-osseux (effets indésirables), Radiographie rétrocoronaire, Soins peropératoires, Test pulpaire.
- MESH :
- effets indésirables : Anesthésie dentaire, Anesthésie locale, Bloc nerveux, Implants dentaires, Pose d'implant dentaire endo-osseux.
- imagerie diagnostique : Mandibule, Mâchoire édentée.
- physiologie : Nerf mandibulaire.
- étiologie : Hypoesthésie, Maladies de la lèvre, Menton.
- Adulte d'âge moyen, Complications postopératoires, Femelle, Humains, Mandibule, Mâchoire édentée, Ostéotomie, Piliers dentaires, Radiographie rétrocoronaire, Soins peropératoires, Test pulpaire.
English descriptors
- KwdEn :
- Anesthesia, Dental (adverse effects), Anesthesia, Local (adverse effects), Chin (innervation), Dental Abutments, Dental Implantation, Endosseous (adverse effects), Dental Implants (adverse effects), Dental Pulp Test, Female, Humans, Hypesthesia (etiology), Intraoperative Care, Jaw, Edentulous (diagnostic imaging), Jaw, Edentulous (surgery), Lip Diseases (etiology), Mandible (diagnostic imaging), Mandible (surgery), Mandibular Nerve (physiology), Middle Aged, Nerve Block (adverse effects), Osteotomy, Postoperative Complications, Radiography, Bitewing.
- MESH :
- chemical , adverse effects : Dental Implants.
- adverse effects : Anesthesia, Dental, Anesthesia, Local, Dental Implantation, Endosseous, Nerve Block.
- diagnostic imaging : Jaw, Edentulous, Mandible.
- etiology : Hypesthesia, Lip Diseases.
- innervation : Chin.
- physiology : Mandibular Nerve.
- surgery : Jaw, Edentulous, Mandible.
- Dental Abutments, Dental Pulp Test, Female, Humans, Intraoperative Care, Middle Aged, Osteotomy, Postoperative Complications, Radiography, Bitewing.
Abstract
A case of a delayed-onset post-operative altered sensation of the mental nerve is reported with speculations as to etiology. There is a discussion concerning intraoperative radiographs and osteotomy positioning. When postoperative altered sensation occurs, etiologic considerations should always include local anesthetic administration technique. The importance of pulp testing from the first molar to the contralateral lateral incisor is key to determining whether the deficit is in the mandibular nerve or only the mental nerve, which may be a result of mental block local anesthetic administration and not implant placement. This differentiation may be important in treatment and/or legal exposure. The altered sensation was probably caused by the mental block anesthetic technique. The partial anesthetic area in this case was probably a result of crossover innervation from the contralateral mental nerve.
PubMed: 12518698
Affiliations:
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Le document en format XML
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Aged</term><term>Nerve Block (adverse effects)</term><term>Osteotomy</term><term>Postoperative Complications</term><term>Radiography, Bitewing</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Anesthésie dentaire (effets indésirables)</term><term>Anesthésie locale (effets indésirables)</term><term>Bloc nerveux (effets indésirables)</term><term>Complications postopératoires</term><term>Femelle</term><term>Humains</term><term>Hypoesthésie (étiologie)</term><term>Implants dentaires (effets indésirables)</term><term>Maladies de la lèvre (étiologie)</term><term>Mandibule ()</term><term>Mandibule (imagerie diagnostique)</term><term>Menton (innervation)</term><term>Mâchoire édentée ()</term><term>Mâchoire édentée (imagerie diagnostique)</term><term>Nerf mandibulaire (physiologie)</term><term>Ostéotomie</term><term>Piliers dentaires</term><term>Pose d'implant dentaire endo-osseux (effets indésirables)</term><term>Radiographie rétrocoronaire</term><term>Soins peropératoires</term><term>Test pulpaire</term></keywords><keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Anesthesia, Dental</term><term>Anesthesia, Local</term><term>Dental Implantation, Endosseous</term><term>Nerve Block</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Jaw, Edentulous</term><term>Mandible</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Anesthésie dentaire</term><term>Anesthésie locale</term><term>Bloc nerveux</term><term>Implants dentaires</term><term>Pose d'implant dentaire endo-osseux</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Hypesthesia</term><term>Lip Diseases</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Mandibule</term><term>Mâchoire édentée</term></keywords><keywords scheme="MESH" qualifier="innervation" xml:lang="en"><term>Chin</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Nerf mandibulaire</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Mandibular Nerve</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term><term>Mandible</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Hypoesthésie</term><term>Maladies de la lèvre</term><term>Menton</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Dental Abutments</term><term>Dental Pulp Test</term><term>Female</term><term>Humans</term><term>Intraoperative Care</term><term>Middle Aged</term><term>Osteotomy</term><term>Postoperative Complications</term><term>Radiography, Bitewing</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Complications postopératoires</term><term>Femelle</term><term>Humains</term><term>Mandibule</term><term>Mâchoire édentée</term><term>Ostéotomie</term><term>Piliers dentaires</term><term>Radiographie rétrocoronaire</term><term>Soins peropératoires</term><term>Test pulpaire</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A case of a delayed-onset post-operative altered sensation of the mental nerve is reported with speculations as to etiology. There is a discussion concerning intraoperative radiographs and osteotomy positioning. When postoperative altered sensation occurs, etiologic considerations should always include local anesthetic administration technique. The importance of pulp testing from the first molar to the contralateral lateral incisor is key to determining whether the deficit is in the mandibular nerve or only the mental nerve, which may be a result of mental block local anesthetic administration and not implant placement. This differentiation may be important in treatment and/or legal exposure. The altered sensation was probably caused by the mental block anesthetic technique. The partial anesthetic area in this case was probably a result of crossover innervation from the contralateral mental nerve.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Flanagan, Dennis" sort="Flanagan, Dennis" uniqKey="Flanagan D" first="Dennis" last="Flanagan">Dennis Flanagan</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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