Permanent neurologic deficit after inferior alveolar nerve block: A case report

Shenkman, Ze’ev; Findler, M; Lossos, Alexander; Barak, Shlomo; Katz, Joseph

doi:10.1016/s0901-5027(06)80037-8

Cited by 14 publications

(17 citation statements)

References 6 publications

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“…Kingon et al [ 48 ] described five cases with dysesthesia and paresthesia after an IANB or a mental nerve block with anesthetic solutions. One case of permanent nerve injury with facial numbness, hearing loss, facial palsy, and ataxia on the ipsilateral side of the injection was reported [ 49 ]. The overall reported incidence of permanent nerve injury from mandibular local anesthesia was 0.000007%–0.003% [ 47 50 51 52 53 ].…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Adverse effects following dental local anesthesia: a literature review

Riet²,

Afrian³

et al. 2021

J Dent Anesth Pain Med

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Local anesthesia is indispensable in dentistry. Worldwide, millions of local anesthetic injections are administered annually, and are generally considered safe invasive procedures. However, adverse effects are possible, of which dentists should be aware of. This scoping review aimed to provide an extensive overview of the reported literature on the adverse effects of dental local anesthesia. The types of papers, what is reported, and how they are reported were reviewed. Additionally, the incidence and duration of adverse effects and factors influencing their occurrence were also reviewed. An electronic search for relevant articles was performed in PubMed and Embase databases from inception to January 2, 2020. The titles and abstracts were independently screened by two reviewers. The analysis was narrative, and no meta-analysis was performed. This study included 78 articles. Ocular and neurological adverse effects, allergies, hematomas, needle breakage, tissue necrosis, blanching, jaw ankylosis, osteomyelitis, and isolated atrial fibrillation have been described. Multiple adverse effects of dental local anesthesia have been reported in the literature. The results were heterogeneous, and detailed descriptions of the related procedures were lacking. Vital information concerning adverse effects, such as the dosage or type of anesthetic solution, or the type of needle used, was frequently missing. Therefore, high-quality research on this topic is needed. Finally, the adverse effects that are rarely encountered in real-world general practice are overrepresented in the literature.

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Section: Resultsmentioning

confidence: 99%

“…In terms of neurological adverse effects, 11 articles described direct injury to two branches of the trigeminal nerve following dental local anesthesia [ 46 47 48 49 50 51 52 53 54 55 101 ]. Involvement of the lingual nerve was reported more often than involvement of the inferior alveolar nerve [ 46 47 ].…”

Section: Discussionmentioning

confidence: 99%

Adverse effects following dental local anesthesia: a literature review

Riet²,

Afrian³

et al. 2021

J Dent Anesth Pain Med

View full text Add to dashboard Cite

show abstract

“…The development of subcutaneous emphysema after hydrogen peroxide rinsing, attributable to released oxygen, has been described previously as a complication in endodontics 1 6,7 but became a permanent neurologic deficit after local anaesthesia in others 8,9 .…”

Section: Discussionmentioning

confidence: 76%

Neurological deficit of the facial nerve after root canal treatment

Kruse¹,

Hellmich²,

Luebbers³

et al. 2009

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, an

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“…[3] Immediately or delayed occurring disorders such as trismus, sensory deficit, needle breakage, facial nerve palsy, neurologic deficit, abscess formation and others following IANB anesthesia are described in the literature in certain reports. [245678910] A conservative therapy is prescribed as a first step by the application of heat, stretching the muscle, prescription of analgesics, antibiotics or muscle relaxants. If there is no response to therapy differential diagnosis must be expanded to avoid possible serious complications (deep space infection, surface ulceration etc.).…”

Section: Introductionmentioning

confidence: 99%

Intermuscular pterygoid-temporal abscess following inferior alveolar nerve block anesthesia-A computer tomography based navigated surgical intervention: Case report and review

Wallner¹,

Reinbacher²,

Pau³

et al. 2014

Ann Maxillofac Surg

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Inferior alveolar nerve block (IANB) anesthesia is a common local anesthetic procedure. Although IANB anesthesia is known for its safety, complications can still occur. Today immediately or delayed occurring disorders following IANB anesthesia and their treatment are well-recognized. We present a case of a patient who developed a symptomatic abscess in the pterygoid region as a result of several inferior alveolar nerve injections. Clinical symptoms included diffuse pain, reduced mouth opening and jaw's hypomobility and were persistent under a first step conservative treatment. Since image-based navigated interventions have gained in importance and are used for various procedures a navigated surgical intervention was initiated as a second step therapy. Thus precise, atraumatic surgical intervention was performed by an optical tracking system in a difficult anatomical region. A symptomatic abscess was treated by a computed tomography-based navigated surgical intervention at our department. Advantages and disadvantages of this treatment strategy are evaluated.

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Permanent neurologic deficit after inferior alveolar nerve block: A case report

Cited by 14 publications

References 6 publications

Adverse effects following dental local anesthesia: a literature review

Adverse effects following dental local anesthesia: a literature review

Neurological deficit of the facial nerve after root canal treatment

Intermuscular pterygoid-temporal abscess following inferior alveolar nerve block anesthesia-A computer tomography based navigated surgical intervention: Case report and review

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