scholarly journals Spontaneous remission of the mandibular nerve paresthesia: a case report

2018 ◽  
Vol 7 (1) ◽  
Author(s):  
Ronald Jefferson Martins ◽  
Naiana de Melo Belila ◽  
Mayumi Domingues Kato ◽  
Cléa Adas Saliba Garbin
Keyword(s):  
Case Report ◽  
Correct Diagnosis ◽  
White Male ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Spontaneous Remission ◽  
Complete Recovery ◽  
Nerve Fibers ◽  
Mandibular Nerve ◽  
Transient Loss

Introduction: Paresthesia is usually characterized by a transient loss of sensitivity in the area covered by the affected nerve. Different causes may lead to this occurrence; among them, the injury of nerve structures during the extraction of third molars. The sensitivity recovery depends on the regeneration of the nerve fibers, and in most cases it occurs spontaneously. In some situations, there is a need for a more invasive and expensive treatments to the patient. Objective: The aim of this study was to evaluate the spontaneous remission of the inferior alveolar nerve paresthesia. Case report: We studied a 34 year-old patient, white, male, which presented paresthesia of the inferior alveolar nerve after extraction of the lower right third molar. We chose to wait for the spontaneous return of the sensitivity, which occurred between the first and second postoperative month. Conclusion: The complete recovery of the sensitivity does not occur in all cases, even with the recommended treatments. So the best way to deal with paresthesia is prevention, where the dentist must perform the correct diagnosis with the aid of the necessary additional tests; besides having skill and dexterity in handling the instruments, so that the surgery would be performed safely and without any complications for the patient.Descriptors: Paresthesia; Remission, Spontaneous; Mandibular Nerve.

scholarly journals Penile Mondor’s disease: a case report

2013 ◽  
pp. 37-39
Author(s):  
M. Bolognesi
Keyword(s):  
Case Report ◽  
Clinical Diagnosis ◽  
General Practitioners ◽  
Correct Diagnosis ◽  
Complete Recovery ◽  
Benign Condition ◽  
Dorsal Vein ◽  
Mondor’S Disease ◽  
Mondor's Disease ◽  
Appropriate Therapy

CASE REPORT This article describes a case report with a review of the symptomatology diagnosis, and treatment of thrombophlebitis in the superficial dorsal vein of the penis. Penile Mondor’s disease is a benign condition, and after appropriate therapy, near complete recovery takes place within three weeks. DISCUSSION Thrombophlebitis of the superficial dorsal vein of the penis (Penile Mondor’s disease) is a rare, but important clinical diagnosis that any physician, and in particular general practitioners, should be able to recognize. Indeed, correct diagnosis and consequent reassurance can help to control the anxiety typically experienced by patients suffering from the disease.

scholarly journals Multiple unilateral accessory mandibular foramina-a case report

2012 ◽  
Vol 01 (04) ◽  
pp. 190-192
Author(s):  
Anupama Mahajan ◽  
Keyword(s):  
Case Report ◽  
Surgical Procedures ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Mandibular Canal ◽  
Molar Tooth ◽  
Posterior Border ◽  
Mandibular Foramen ◽  
Inner Surface ◽  
Accessory Foramina

AbstractAccessory foramina in the mandible are known to transmit branches of nerves supplying the roots of the teeth. The mandibular foramen is present on the inner surface of the ramus of the mandible which transmits the inferior alveolar nerve. An adult human mandible of unknown sex was found to have multiple mandibular foramina on the medial surface of right ramus. A large accessory mandibular foramen was present anterosuperior to the main mandibular foramen. The dimensions were 6 mm antero posteriorly and 11mm vertically. The dimensions of the mandibular foramen were 9 mm antero posteriorly and 12mm vertically. The distance between two foramina was 20 mm and between the accessory mandibular foramen and apex of lingula was 7 mm. The distance between the posterior border of the accessory mandibular foramen and posterior border of ramus were 15 mm. The accessory mandibular foramen led into a canal which was directed obliquely and joined the mandibular canal at the level of third molar tooth. Two more small mandibular foramina were present one just below the accessory mandibular foramen discussed above and second near the main mandibular foramen. Both of them were of too small size to measure. The accessory mandibular foramen is a rare variation and awareness of its incidence and its position is necessary. The structures passing through it can be compromised during surgical procedures of this area.

scholarly journals Coronectomy of a lower third molar in combination with vital pulp therapy

2014 ◽  
Vol 08 (03) ◽  
pp. 416-418 ◽  
Author(s):  
Young-Bin Kim ◽  
Woo-Hee Joo ◽  
Kyung-San Min
Keyword(s):  
Case Report ◽  
Dental Materials ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Mineral Trioxide Aggregate ◽  
Pulp Tissue ◽  
Pulp Therapy ◽  
Tertiary Dentin ◽  
Vital Pulp Therapy

ABSTRACTCoronectomy is a procedure that intentionally spares the vital root after removal of the crown of the lower third molar to avoid damage to the inferior alveolar nerve. Vital pulp therapy is one option for managing exposed pulp tissue to reduce the risk of pulpal inflammation or necrosis. Among various dental materials, mineral trioxide aggregate (MTA) has been successfully used for vital pulp therapy. Thus, this case report discusses a coronectomy procedure in combination with vital pulp therapy using MTA. This case also attempts to highlight the formation of tertiary dentin, evidence of successful vital pulp therapy.

Difficult diagnosis of facial pain: A case report and mini-review

2010 ◽  
Vol 1 (4) ◽  
pp. 179-183 ◽  
Author(s):  
Satu K. Jääskeläinen ◽  
Heli Forssell ◽  
Olli Tenovuo ◽  
Riitta Parkkola
Keyword(s):  
Neuropathic Pain ◽  
Case Report ◽  
Facial Pain ◽  
Orofacial Pain ◽  
Brain Mri ◽  
Correct Diagnosis ◽  
Mouth Opening ◽  
Nerve Fibers ◽  
Sampling Errors ◽  
Myelinated Nerve

AbstractThis case report elucidates pitfalls of clinical and radiologic investigations of neuropathic pain due to trigeminal pathology, and utility of neurophysiologic examination when diagnosing facial pain. Our patient was a 63-year-old woman who developed acute, severe facial pain, first located behind the left eye. Neuralgic exacerbations, paresthesia within lower face on the left and restricted mouth opening occurred during the course of the disease with gradual progression. Brain MRI and CT scans were interpreted as normal at 4 and 10 months after symptom onset. At 9 months, detailed neurophysiologic examination showed severe chronic mandibular neuropathy at the left oval foramen with more prominent disturbance of the thick myelinated nerve fibers than the small fibers suggesting compressive etiology. Guided by the neurophysiologic findings, 11 months after the onset of the symptoms, a new brain MRI with contrast enhancement revealed metastatic adenocarcinoma of the left temporal bone along the mandibular nerve, exactly matching the site indicated by the neurophysiologic examination. Neurophysiologic tests offer cost-effective, sensitive tools for screening and accurate level diagnostics of neuropathy and neuropathic pain, which can be utilized also in the diagnosis of facial pain. In addition, whenever there are progressing neurologic deficits or neurophysiologic signs indicating expansive lesion, despite initially normal findings in the brain imaging studies, repeated MRI examinations are warranted, preferably focusing to the ‘neurophysiologic region of interest’ to avoid radiologic sampling errors. As no isolated technique achieves 100% diagnostic accuracy, only rational combinations of different methods will result in correct diagnosis of facial pain without unnecessary delays. Treatment of neuropathic pain is often delayed because of difficulties in reaching the correct diagnosis. During the work-up, many differential diagnostic alternatives have to be considered, also in patients with chronic orofacial pain. Table 1 shows the most important differential diagnoses of orofacial pain.

scholarly journals Cisto dentígero: diagnóstico e tratamento

2019 ◽  
Vol 7 (11) ◽  
Author(s):  
Rodolfo Pollo Soares ◽  
Aline Reis Stefanini ◽  
André Luis da Silva Fabris ◽  
Paulo Henrique Bortoluzo ◽  
Luciana Estevam Simonato
Keyword(s):  
Case Report ◽  
Rio De Janeiro ◽  
Dentigerous Cyst ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Odontogenic Keratocyst ◽  
Rational Approach ◽  
Differential Expression Pattern ◽  
Dentigerous Cysts ◽  
Belo Horizonte

O cisto dentígero é um cisto odontogênico que é classificado como de desenvolvimento. Normalmente, está relacionado à coroa de um dente incluso, sendo um dos cistos odontogênicos mais frequentes nos ossos gnáticos. Na maioria das vezes é diagnosticado em pacientes entre a segunda e a terceira década de vida, com grande ocorrência em terceiros molares inferiores e caninos superiores. Clinicamente, apresenta evolução lenta, assintomática e pode causar discreta deformidade facial, deslocamento de dentes e alterações de estruturas na região. Radiograficamente, os cistos dentígeros são descritos como lesões radiolúcidas bem delimitadas e uniloculares. Na maioria dos casos, são observados em exames de rotina ou durante a pesquisa da causa da não erupção de um dente permanente. Apesar da singularidade clínica de cada caso, o prognóstico dessa lesão é favorável. O tratamento para o cisto dentígero pode ser a marsupialização em casos de lesões grandes, enucleação com exodontia do dente incluso ou preservação do elemento dental. Este trabalho visa apresentar um caso clínico de cisto dentígero em região posterior de mandíbula, abordando aspectos clínicos, imaginológicos, histopatológicos e terapêuticos, com a finalidade de familiarizar o cirurgião dentista com tal lesão.Descritores: Cisto; Cisto Dentígero; Diagnóstico Bucal.ReferênciasJones TA, Perry RJ, Wake MJ. Marsupialization of a large unilateral mandibular dentigerous cyst in a 6-year-old boy – a case report. Dent Update. 2003;30(10):557-61.Chapelle KOM, Stoelinga PJ, de Wilde PC, Brouns JJ, Voorsmit RA. Rational approach to diagnosis and treatment of ameloblastomas and odontogenic keratocists. Br J Oral Maxilofac Surg. 2004;42(5):381-90.Sampaio RK, Prado R. Cirurgia dos cistos odontogênicos. In: Prado R, Salim M. Cirurgia bucomaxilofacial: diagnóstico e tratamento. Belo Horizonte: Medsi; 2004. p. 365-407.Ustuner E, Fitoz S, Atasoy C, Erden I, Akyar S. Bilateral maxillary dentigerous cysts: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003; 95(5):632-35.Tsukamoto G, Sasaki A, Akyama T, Ishikawa T, Kishimoto K, Nishiyama A et al. A radiologic analysis of dentigerous cyst and odontogenic keratocysts associated with a mandibular third molar. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;91(6):743-47.Daley TD, Wysocki GP. The small dentigerous cyst. A diagnostic dilemma.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79(1):77-81.Regezi JA, Sciubba JJ. Patologia bucal: correlações clinicopatológicas. Rio de Janeiro: Guanabara Koogan; 2000.Shafer WG, Hine MK, Levy BM. Tratado de patologia bucal. 4. ed. Rio de Janeiro: Guanabara Koogan; 1987.Aziz SR, Pulse C, Dourmas MA, Roser SM. et al. Inferior alveolar nerve paresthesia associated with a mandibular dentigerous cyst. J Oral Maxillofac Surg. 2002;60(4):457-59.Hyomoto M, Kawakami M, Inoue M, Kirita T. Clinical conditions for eruption of maxillary canines and mandibular premolars associated with dentigerous cysts. Am J Orthod Dentofac Orthop. 2003;124(5):515-20.Thosaporn W, Iamaroon A, Pongsiriwet S, Ng KH. A comparative study of epithelial cell proliferation between the odontogênic keratocyst, orthokeratinized odontogenic cyst, dentigerous cyst, and ameloblastoma. Oral Dis. 2004;10(1):22-6.Neville BW, Damm DD, Allen CM, Bouquot JE. Patologia Oral & Maxilofacial. 4.ed. Rio de Janeiro: Guanabara Koogan; 2016.Bajaj MS, Mahindrakar A, Pushker N. Dentigerous cyst in the maxillary sinus: a rare cause of nasolacrimal obstruction. Orbit. 2003;22(4):289-92.Kawamura JY, de Magalhães RP, Sousa SC, Magalhães MH. Management of a large dentigerous cyst occurring in a six-year-old boy. J Clin Pediatr Dent. 2004;28(4):355-57.Motamedi MH, Talesh KT. Management of extensive dentigerous cysts. Br Dent J. 2005;198(4):203-6.Ertas U, Yavuz S. Interesting eruption of 4 teeth associated with a large dentigerous cyst in mandible by only marsupialization. J Oral Maxilofac Surg. 2003;61(6):728-32.Kim SG, Yang BE, OH SH, Min SK, Hong SP, Choi JY. The differential expression pattern of BMP-4 between the dentigerous cystand the odontogenic keratocyst. J Oral Pathol Med. 2005;34(3):178-83.Benn A, Altine M. Dentigerous cyst of infl amatory origin: a cliniopathologic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;81(2):203-9.Dunsche A, Babendererde O, Luttges J, Springer IN. Dentigerous cyst versus unicystic ameloblastoma – differential diagnosis in routine histology. J Oral Pathol Med. 2003;32(8):486-91.Fortin T, Coudert JL, Francois B, Huet A, Niogret F,Jourlin M et al. Marsupialization of dentigerous cyst associated with foreign body using 3D CT images: a case report. J Clin Pediatr Dent. 1997;22(1):29-33.Martínez-Pérez D, Varela-Morales M. Conservative treatmentof dentigerous  cysts in children: report of four cases. J Oral Maxillofac Surg. 2001;59(3):331-34.Vaz LGM, Rodrigues MTV, Ferreira Júnior O. Cisto dentígero: características clínicas, radiográficas e critérios para o plano de tratamento. RGO. 2010;58(1):127-30.

scholarly journals Case Report: Spontaneous Remission of an Infraorbital Follicular B-Cell Lymphoma: Case Report and Review of the Literature

2021 ◽  
Vol 27 ◽  
Author(s):  
Maxime Peeters ◽  
Joris Geusens ◽  
Fréderic Van der Cruyssen ◽  
Lucienne Michaux ◽  
Laurence de Leval ◽  
...  
Keyword(s):  
Case Report ◽  
B Cell ◽  
Cell Lymphoma ◽  
White Male ◽  
Neck Region ◽  
B Cell Lymphoma ◽  
Spontaneous Remission ◽  
Non Hodgkin Lymphoma ◽  
Rare Site ◽  
Painless Mass

Non-Hodgkin lymphomas comprise a heterogeneous group of malignancies, with a wide scope of clinical, radiological and histological presentations. In this paper, a case is presented of a 59-year-old white male with an infraorbital follicular B-cell lymphoma, which appeared as a painless mass in the left cheek. The lymphoma achieved spontaneous remission five and a half months after his diagnostic incision biopsy. The literature is reviewed, focusing on this rare site of presentation and spontaneous remission. In literature, only four cases have been reported with a follicular B-cell lymphoma of the cheek or infraorbital region, and only 26 cases of spontaneous remission of an extracranial non-Hodgkin lymphoma in the head and neck region have been described. To the authors’ best knowledge, this is the first time spontaneous remission of an infraorbital follicular lymphoma could be observed. The nature of the processes inducing spontaneous remission remains obscure. It is important to recognize this phenomenon as this might prevent unnecessary treatment.

scholarly journals Clinical Significance of Intraoperative Exposure of Inferior Alveolar Nerve during Surgical Extraction of the Mandibular Third Molar in Nerve Injury

2021 ◽  
Vol 10 (19) ◽  
pp. 4379
Author(s):  
Sung-Woon On ◽  
Seoung-Won Cho ◽  
Soo-Hwan Byun ◽  
Byoung-Eun Yang
Keyword(s):  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Significant Risk ◽  
Significant Risk Factor ◽  
Complete Recovery ◽  
Exposed Group ◽  
Additional Risk ◽  
Unexposed Group ◽  
Mandibular Third Molar ◽  
Surgical Extraction

During extraction surgery, the inferior alveolar nerve (IAN) can occasionally be observed in the extraction socket of the mandibular third molar (M3). The purpose of this study was to investigate and compare the incidence of IAN injury in groups with and without intraoperative IAN exposure during surgical extraction of M3, and to identify additional risk factors for the IAN injury in addition to the IAN exposure. A total of 288 cases in 240 patients, who underwent surgical extraction of M3 by a single surgeon, were divided into the exposed group (n = 69) and the unexposed group (n = 219). The surgeon recorded the information regarding the procedure when the clinical observation of IAN exposure was made during the surgery. The incidence of IAN injury after the extraction surgery was significantly higher in the exposed group than in the unexposed group (4.3% versus 0%, p < 0.05). Paresthesia was recognized in three cases of the exposed group, but it showed complete recovery within three postoperative months. No case of permanent paresthesia was detected in both groups. According to the logistic regression, the only significant risk factor of IAN injury in the exposed group was the increase of age (OR 1.108, p < 0.05). Intraoperative IAN exposure during surgical extraction of M3 may show a higher incidence of IAN injury than the case without IAN exposure, representing an incidence of 4.3%. Even if the paresthesia associated with IAN exposure occurs, it is likely to be a temporary injury, and this risk may increase with age.

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