Delayed onset of altered sensation following dental implant placement and mental block local anesthesia: a case report.
Identifieur interne : 003292 ( PubMed/Curation ); précédent : 003291; suivant : 003293Delayed 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
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Dennis Flanagan<affiliation><nlm:affiliation>dffdds@mindspring.com</nlm:affiliation>
<wicri:noCountry code="no comma">dffdds@mindspring.com</wicri:noCountry>
</affiliation>
Le document en format XML
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<term>Anesthésie locale (effets indésirables)</term>
<term>Bloc nerveux (effets indésirables)</term>
<term>Complications postopératoires</term>
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<term>Dental Implantation, Endosseous</term>
<term>Nerve Block</term>
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<term>Mandible</term>
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<term>Anesthésie locale</term>
<term>Bloc nerveux</term>
<term>Implants dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
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<term>Lip Diseases</term>
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<term>Mâchoire édentée</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Mandibular Nerve</term>
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<term>Mandible</term>
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<term>Femelle</term>
<term>Humains</term>
<term>Mandibule</term>
<term>Mâchoire édentée</term>
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<term>Piliers dentaires</term>
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<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>
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<Abstract><AbstractText>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.</AbstractText>
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