Escolar Documentos
Profissional Documentos
Cultura Documentos
898
Farronato et al 899
Fig 1. Records at symptom onset: A, panoramic radiograph; B and D, CT scans, right side; C and
E, CT scans, left side.
between the root apices and the mandibular canal (Fig 2).
The original orthodontic alignment treatment was completed, simply avoiding the bands on the second molars
and maintaining all other appliances in place. At the end
of alignment, a retainer was prescribed. The patient
suffered no further paresthesia and recovered completely.
DISCUSSION
900 Farronato et al
Fig 2. Two months after recovery: A, panoramic radiograph; B and D, CT scans, right side; C and
E, CT scans, left side.
Farronato et al 901
to the mandibular canal. When mandibular molar distalization is contemplated in treatment, detailed analysis of the panoramic radiograph might be useful to
prevent this unusual occurrence. In our case, the panoramic radiograph showed excessively long molar roots
near the mandibular canal bilaterally, although the
symptoms developed only on the right side.
8.
9.
10.
REFERENCES
1. Borner L, Oberman M, Shteyer A. Mental nerve neuropathy
associated with compound odontoma. Oral Surg Oral Med Oral
Pathol 1987;63:658-60.
2. Jerjes W, Swinson B, Banu B, Al Khawalde M, Hopper C.
Paresthesia of the lip and chin area resolved by endodontic
treatment: a case report and review of literature. Br Dent J
2005;198:743-5.
3. Jonsson E, Svartz K, Welander U. Sagittal split osteotomy: I.
Immediate postoperative conditions. Int J Oral Surg 1979;8:75-81.
4. Martis CS. Complications after mandibular sagittal split osteotomy. J Oral Maxillofac Surg 1984;42:101-7.
5. Leira JI, Gilhuus-Moe OT. Sensory impairment following sagittal split osteotomy for correction of mandibular retrognathism.
Int J Adult Orthod Orthognath Surg 1991;6:161-7.
6. Proffit WR, White RP. Surgical orthodontic treatment. St Louis:
Mosby-Year Book; 1991.
7. Ahlgren FK, Johannessen AC, Hellem S. Displaced calcium
hydroxide paste causing inferior alveolar nerve paresthesia:
11.
12.
13.
14.
15.
16.
report of a case. Oral Surg Oral Med Oral Pathol Oral Radiol
Endod 2003;96:734-7.
Allard KU. Paresthesiaas consequence of a controversial
root-filling material? A case report. Int Endod J 1986;19:205-8.
Wofford DT, Miller RI. Prospective study of dysesthesia following odontectomy of impacted mandibular third molars. J Oral
Maxillofac Surg 1987;45:15-9.
Kipp DP, Goldstein BH, Weiss WW Jr. Dysesthesia after
mandibular third molar surgery: a retrospective study and analysis of 1,377 surgical procedures. J Am Dent Assoc 1980;100:
185-92.
Stirrups DR. Temporary mental paresthesia: an unusual complication of orthodontic treatment. Br J Orthod 1985;12:87-9.
Tang NC, Selwyn-Barnett BJ, Blight SJ. Lip paresthesia associated with orthodontic treatmenta case report. Br Dent J
1994;176:29-30.
Krogstad O, Omland G. Temporary paresthesia of the lower lip:
a complication of orthodontic treatment. A case report. Br J
Orthod 1997;24:13-5.
Caruso EM, Leggitt JM, Newtom L. QR-DVT 9000 imaging
used to confirm a clinical diagnosis of iatrogenic mandibular
nerve paresthesia. J Calif Dent Assoc 2003;31:843-5.
Willy PJ, Brennan P, Moore J. Temporary mental nerve paresthesia secondary to orthodontic treatment. A case report and
review. Br Dent J 2004;196:83-4.
Littner MM, Kaffe I, Tamse A, Dicapua P. Relationship
between the apices of the lower molars and mandibular
canala radiographic study. Oral Surg Oral Med Oral Pathol
1986;62:595-602.