Shetty, Karthik (2014) Management of mental nerve parasthesia secondary to initiation of Endodontic treatment in a mandibular premolar with the aid of CBCT - A case report. International Journal of Dental Case Reports, 4 (4). pp. 22-26.

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Abstract

Parasthesia is defined as a sensory disturbance with clinical manifestations such as burning, prickling, t ingling, numbness, itching or any deviation from normal sensation. Paresthesia of the inferior alveolar nerve can occur during various dental Procedures like local anesthetic injections, third molar surgery, orthognathic surgery, Ablative surgery, Implants, and endodontics. This case report highlights a commonly occurring and often reported problem of Paresthesia involving the Mental Nerve during endodontic treatment. Most of the previous case reports have used radiographs for the diagnosis and management of these cases. Since the radiographic image is a 2 dimensional image it has its limitation while a 3 dimensional imaging modality like a cone beam computed tomography (CBCT) provides the clinician with additional information which can be critical in the management of cases. The exact 3 dimensional location of the mental foramen in relation to the apex of the concerned tooth can be confirmed using CBCT scans, helping make more informed diagnosis and treatment plans. This case was successfully managed using CBCT images for guidance during the root canal treatment.

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