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Published on: May 10, 2017
Infectious transient dental-related paresthesia
1Fort Knox, Kentucky, US Army Dental Corps 96258-0653, USA.
General Dentistry
|January 1, 1996
Summary
Nonsurgical endodontic therapy successfully resolved oral paresthesia in three patients. This suggests that infection-induced pressure and inflammation may cause paresthesia, which can be treated non-surgically.
Area of Science:
- Endodontics
- Neurology
- Oral Medicine
Background:
- Paresthesia, an abnormal sensation like burning or prickling, can affect the oral cavity.
- The etiology of oral paresthesia is often multifactorial and can be challenging to diagnose.
- Endodontic infections are a potential, though less commonly recognized, cause of neurological symptoms in the orofacial region.
Observation:
- Three patients presented with oral paresthesia.
- These paresthesias were associated with endodontic issues.
- Clinical examination and radiographic findings were consistent with developing or established endodontic infections.
Findings:
- All three cases of oral paresthesia resolved completely following nonsurgical endodontic treatment.
- The resolution of symptoms post-treatment strongly correlates endodontic pathology with the observed paresthesia.
- Histopathological evidence from similar cases suggests inflammatory exudate and pressure can impinge on nerves.
Implications:
- Nonsurgical endodontic therapy is a viable treatment for paresthesia originating from endodontic infections.
- This supports the hypothesis that pressure from expanding periapical infections and resultant inflammation cause paresthesia.
- Clinicians should consider endodontic causes when evaluating patients with unexplained oral paresthesia.
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