Neurosensory impairment due to iatrogenesis during endodontic treatment: Literature review
DOI:
https://doi.org/10.33448/rsd-v12i9.43246Keywords:
Endodontics; Paresthesia; Nerve.Abstract
Paresthesia related to endodontic treatment is characterized as a disorder that affects nervous tissue, whose origins can be divided into mechanical and chemical injuries. The most affected nerves are the inferior alveolar, lingual and mental nerves and its main symptoms are tingling, burning sensation, numbness and loss of local sensitivity. Among the possible causes, the so-called dental accidents, known as iatrogenic events, can trigger such effects, causing nerve paresthesia. Therefore, this work aims to carry out a literature review to discuss the main iatrogenic factors during endodontic treatment that can cause paresthesia. For the elaboration of the literature review, 22 articles were selected through Google Scholar, PubMed and Lilacs databases with the following terms “endodontics”; "paresthesia" and "nerve", in English and Portuguese indexed in the "Health Sciences Descriptors" (DeCs). The criteria for inclusion of the articles were defined as: articles that discussed the main iatrogenic factors during endodontic treatment that caused paresthesia, published in the last 10 years, and some classic articles, in Portuguese and English. Thus, it is possible to conclude that the iatrogenic factors that cause paresthesia in endodontic treatment include overinstrumentation, excessive extension of the gutta-percha cone, cement leakage, dentinal debris, irrigating solution, mechanical or chemical nerve injury. It is important to have accurate anatomical knowledge and perform the treatment correctly to avoid damage to the periradicular tissues. Thus, the need for elucidation of the probable occurrence of iatrogenesis during endodontic therapy is in good order.
References
Abra, B. C., Fernandes, K. G. C., & Boer, N. C. P. (2022). Acidentes com irrigação de hipoclorito de sódio em endodontia. Revista Ibero-Americana de Humanidades, Ciências e Educação, 8(3), 2036-2048.
Alves, A. L. R. F., Alves, M. F. V. M., Cichi, M., & Alves, F. R. F. (2016). Parestesia, por que o endodontista deve se preocupar. Full Dent Sci, 8(29), 133-40.
Alves, F. R. F., Dias, M. C. C., Mansa, M. G. C. B., & Machado, M. D. (2020). Permanent Labiomandibular Paresthesia after Bioceramic Sealer Extrusion: A Case Report. Journal of endodontics, 46(2), 301–306.
Andrabi, S. M. U. N., Alam, S., Zia, A., Khan, M. H., & Kumar, A. (2014). Mental nerve paresthesia secondary to initiation of endodontic therapy: a case report. Restorative dentistry & endodontics, 39(3), 215-219.
Bastien, A. V., Adnot, J., Moizan, H., Calenda, É., & Trost, O. (2017). Secondary surgical decompression of the inferior alveolar nerve after overfilling of endodontic sealer into the mandibular canal: Case report and literature review. Journal of stomatology, oral and maxillofacial surgery, 118(6), 389–392.
Byun, S. H., Kim, S. S., Chung, H. J., Lim, H. K., Hei, W. H., Woo, J. M., ... & Lee, J. H. (2016). Surgical management of damaged inferior alveolar nerve caused by endodontic overfilling of calcium hydroxide paste. International endodontic journal, 49(11), 1020-1029.
De Carvalho Coutinho, T. M., Almeida, E., Poncione, B., & Leal, A. (2022). Influência da concentração de hipoclorito de sódio na incidência e na severidade dos acidentes por extravasamento. Revista Rede de Cuidados em Saúde, 16(1).
Censi, R., Vavassori, V., Borgonovo, A. E., & Re, D. (2016). Infection related inferior alveolar nerve paresthesia in the lower premolar teeth. Case reports in dentistry, 2016.
Feitosa, A. V. S., Simonato, L. E., & Tomo, S. (2022). Aspectos atuais do diagnóstico e manejo da Neuralgia do Trigêmeo de interesse para o cirurgião-dentista. Revista Ibero-Americana de Humanidades, Ciências e Educação, 8(5), 1250-1268.
Garcia-Blanco, M., Gualtieri, A. F., Lovaglio-Rivas, A. C., Ruffini, J. M., & Puia, S. A. (2021). Trigeminal nerve injuries. Four years' experience at a single Argentine referral center and a literature review. Lesiones del nervio trigémino. Cuatro años de experiencia de un servicio quirúrgico odontológico en Argentina y revisión bibliográfica. Acta odontologica latinoamericana : AOL, 34(3), 263–270.
Genc Sen, O., & Kaplan, V. (2015). Temporary mental nerve paresthesia originating from periapical infection. Case Reports in Dentistry, 2015.
Hummig, W., Grossmann, T. K., & Grossmann, E. (2020). Schwannoma trigeminal simulando dor orofacial: diagnóstico diferencial e tratamento. Relato de caso. BrJP, 3, 189-193.
Kasapoğlu, M. B., & Doğancalı, G. E. (2022). Inferior alveolar nerve injury due to the extrusion of calcium hydroxide during endodontic treatment: A case report. Australian endodontic journal : the journal of the Australian Society of Endodontology Inc, 48(2), 342–346.
Laport, P. (2019). Parestesia e o tratamento endodôntico. Revista Brasileira de Odontologia, 76, 94.
Machado, R., Comparin, D., Aguiar, L., Ferrari, C. H., & Garcia, L. D. F. R. (2021). Instrumentação foraminal: repercussões locais e sistêmicas. Dent. press endod, 78-83.
Patel, N., Langaliya, A., Kanodia, S., Kumbhar, A., Buch, A., Shah, A., ... & Shah, J. (2021). Mental Nerve Paraesthesia: A Report of Two Cases Associated with Endodontic Etiology. Case Reports in Dentistry, 2021.
Peres, T. M. C., Ferreira, J. S., & de Sousa Lima, S. (2022). Acidentes e complicações na endodontia. Revista Cathedral, 4(3), 58-68.
Perotti, S., Bin, P., & Cecchi, R. (2018). Hypochlorite accident during endodontic therapy with nerve damage–A case report. Acta Bio Medica: Atenei Parmensis, 89(1), 104.
Shadmehr, E., & Shekarchizade, N. (2015). Endodontic periapical lesion-induced mental nerve paresthesia. Dental Research Journal, 12(2), 192.
Silva, R. D. C. P., dos Santos Bezerra, M., Gonzaga, G. L. P., Fonseca, A. B. M., da Silva, M. K. A., de Albuquerque Santos, I., & Lessa, S. V. (2022). Aplicações clínicas da tomografia computadorizada cone beam na endodontia: revisão de literatura. Research, Society and Development, 11(1), e21211124895-e21211124895.
Szalma, J., Soós, B., Krajczár, K., & Lempel, E. (2019). Piezosurgical management of sealer extrusion‐associated mental nerve anaesthesia: A case report. Australian Endodontic Journal, 45(2), 274-280.
Veloso, H. H. P., Dourado, A. T., Santos, L. S., & Lima, L. H. (2017). Prevalência de parestesia decorrente do tratamento endodôntico no município de João Pessoa-PB. Revista Odontológica do Brasil Central, 26(79).
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Alana Almeida Couto; Alex Sandro Mendonça Leal; Ana Graziela Araújo Ribeiro; Ana Paula Nóbrega Caetano da Silva; Érica Martins Valois ; Felipe Nunes Araújo; Izabelle Maria Cabral de Azevedo; Jemerson da Silva Cardoso; Karinne Travassos Pinto Carvalho; Layla Ferreira Sousa Cordeiro; Maria Clara de Sena Vieira; Maria Fernanda Mendes Cury
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
