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下颌尖牙根尖周感染导致颏神经感觉异常:一例报告

Paresthesia of the mental nerve stem from periapical infection of mandibular canine tooth: a case report.

作者信息

Ozkan Birkan Taha, Celik Salih, Durmus Ercan

机构信息

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Selçuk, Konya, Turkey.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008 May;105(5):e28-31. doi: 10.1016/j.tripleo.2008.01.023.

Abstract

Sensory disturbances such as paresthesia, anesthesia, hypoesthesia, and hyperesthesia may be present in the oral cavity. Paresthesia is defined as a burning or prickling sensation or partial numbness caused by neural injury. Paresthesia in dentistry can be caused by local or systemic factors. Local factors include traumatic injuries such as mandibular fractures, expanding compressive lesions (benign or malignant neoplasia and cysts), impacted teeth, local infections (osteomyelitis, periapical, and peri-implant infections), iatrogenic lesions after tooth extractions, anesthetic injection, endodontic therapy (overfilling and apical surgery), implantology, orthodontic surgery, and preprosthetic surgery. The main purpose of this case report is to present the treatment and resolution of a mental nerve paresthesia stemming from apical pathosis of a mandibular canine tooth and the follow-up of 3 years.

摘要

口腔中可能存在感觉障碍,如感觉异常、麻木、感觉减退和感觉过敏。感觉异常被定义为由神经损伤引起的灼痛、刺痛感或部分麻木。牙科中的感觉异常可由局部或全身因素引起。局部因素包括创伤性损伤,如下颌骨折、扩展性压迫性病变(良性或恶性肿瘤及囊肿)、阻生牙、局部感染(骨髓炎、根尖周炎和种植体周围感染)、拔牙后医源性病变、麻醉注射、牙髓治疗(超充和根尖手术)、种植学、正畸手术和修复前手术。本病例报告的主要目的是介绍一例因下颌尖牙根尖病变引起的颏神经感觉异常的治疗及缓解情况,并进行3年的随访。

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