Use of cone-beam computed tomography in the diagnosis of sensory nerve paresthesia secondary to orthodontic tooth movement: A clinical report

Chana, Randeep S.; Wiltshire, William A.; Cholakis, A.; Levine, Gary M.

doi:10.1016/j.ajodo.2012.05.024

Cited by 9 publications

(9 citation statements)

References 19 publications

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“…Furthermore, in high-risk cases, caution should be taken when directing force to reduce the risk of nerve compression. Any teeth close to the nerve should be extruded along the long axis before torqueing/tipping of the roots which should be avoided in direction of the IAN (Chana et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…However, close monitoring at 2–4 weeks to ensure improvement in symptoms is advised. In patients with persistent symptoms, an urgent referral should be made for an MRI scan and neurological opinion to exclude trigeminal nerve neuropathy secondary to intracranial pathologies (Chana et al, 2013). In the absence of pathology and failed improvement in symptoms, the patient should be appropriately referred to a chronic pain specialist or neurologist for medical management and supportive care.…”

Section: Discussionmentioning

confidence: 99%

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Inferior alveolar nerve anaesthesia: A rare complication of orthodontic tooth movement

2019

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Inferior alveolar nerve (IAN) damage is a rare but recognised complication of dental procedures including third molar surgery, implant surgery, endodontic treatment and local anaesthetic injections. However, it is rarely caused by orthodontic tooth movement. This report highlights a case of temporary IAN anaesthesia to the right mental region, which was likely to have occurred secondary to the orthodontic uprighting of a lingually tilted molar using a high strength arch wire. Immediate deactivation of the appliance and an acute reducing dose of systemic steroids resulted in complete resolution of symptoms. To the best of the author’s knowledge, there have been seven previously described cases of IAN paraesthesia but no cases reporting IAN anaesthesia secondary to orthodontic fixed-appliance treatment. This case highlights the importance of dentists practising orthodontics to have an awareness of the clinical and radiographic signs that may indicate a high-risk case requiring appropriate referral for cone beam imaging and careful orthodontic planning. Furthermore, this case emphasises the need to warn high-risk patients of the symptoms of this rare complication and how it may be managed. This will ultimately help to minimise the risk of litigation and optimise patient experience and care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Inferior alveolar nerve anaesthesia: A rare complication of orthodontic tooth movement

2019

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“…The duration of the effects that patients experience may range from a few hours to several months, and usually, complete sensory recovery is achieved. A report by Chana et al (2013) of orthodontic treatment-induced transient mental nerve paresthesia demonstrated the importance of CBCT scans as the sole aid in obtaining a definitive diagnosis of this clinical condition.…”

Section: Application Of Cbct In Risk Assessmentmentioning

confidence: 99%

CBCT imaging – A boon to orthodontics

Machado¹

2015

The Saudi Dental Journal

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The application of innovative technologies in dentistry and orthodontics has been very interesting to observe. The development of cone-beam computed tomography (CBCT) as a preferred imaging procedure for comprehensive orthodontic treatment is of particular interest. The information obtained from CBCT imaging provides several substantial advantages. For example, CBCT imaging provides accurate measurements, improves localization of impacted teeth, provides visualization of airway abnormalities, it identifies and quantifies asymmetry, it can be used to assess periodontal structures, to identify endodontic problems, to plan placement sites for temporary skeletal anchorage devices, and to view condylar positions and temporomandibular joint (TMJ) bony structures according to the practitioner's knowledge at the time of orthodontic diagnosis. Moreover, CBCT imaging involves only a minimal increase in radiation dose relative to combined diagnostic modern digital panoramic and cephalometric imaging. The aim of this article is to provide a comprehensive overview of CBCT imaging, including its technique, advantages, and applications in orthodontics.

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“…Although clear aligners seem to be an ideal system, they have certain biomechanical limits that have yet to be overcome, 1 and currently, the biomechanics of clear aligners require further clarification to achieve more predictable treatment results. 2 Teeth move as a response to pressure, and the combination of biochemical, cellular, and substrate responses are usually the same, regardless of the charismatic leader, the manufacturer's claim, the size and shape of the bracket, the chemical composition of the wire, or the philosophy of the operator. 3 We agree with the authors' statement that, "Although the consumer demand and the professional use of clear aligners continue to grow, questions regarding the efficacy of this system still remain.…”

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confidence: 99%

“…The recommended Invisalign aligner change frequency varied from 1 to 2 weeks per current manufacturer's protocols to increase the likelihood of successful tooth movement. 1,2 With corticotomy-assisted orthodontics, 3-day changes were also reported. 3 In our study, the patients were instructed to wear their aligners for at least 20 hours per day and change their aligners every 10 days.…”

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confidence: 99%