1/5. Sympathetic activity-mediated neuropathic facial pain following simple tooth extraction: a case report.This is a report of a case of sympathetic activity-mediated neuropathic facial pain induced by a traumatic trigeminal nerve injury and by varicella zoster virus infection, following a simple tooth extraction. The patient had undergone extraction of the right lower third molar at a local dental clinic, and soon after the tooth extraction, she became aware of spontaneous pain in the right ear, right temporal region, and in the tooth socket. At our initial examination 30 days after the tooth extraction, the healing of the tooth socket was normal; however, the patient had a tingling and burning sensation (dysesthesia) and spontaneous pain of the right lower lip and the right temporal region, both of which were exacerbated by non-noxious stimuli (allodynia). The patient also showed paralysis of the marginal mandibular branch of the facial nerve, taste dysfunction, and increased varicella zoster serum titers. A diagnostic stellate ganglion block (SGB) 45 days after the tooth extraction using one percent lidocaine markedly alleviated the dysesthesia and allodynia. These symptoms are characteristic of neuropathic pain with sympathetic interaction. The patient was successfully treated with SGB and a tricyclic antidepressant.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
2/5. Selective anesthesias of peripheral branches of the trigeminal nerve due to odontogenic infection.infection of dental origin may induce anesthesias of peripheral branches of the trigeminal nerve and should be considered in the differential diagnosis of such neuropathies. This article presents two cases in which focal odontogenic infection caused sensory disruption at peripheral points along the maxillary and mandibular divisions of the trigeminal nerve. In both cases resolution of symptoms followed extraction of teeth responsible for the infection.- - - - - - - - - - ranking = 0.11111111111111keywords = extraction (Clic here for more details about this article) |
3/5. Augmentation genioplasty as an adjunct to conservative orthodontic treatment.Augmentation genioplasty can serve as a valuable adjunct to orthodontic treatment. The borderline extraction patient with a good nasolabial angle, protruding lower incisors and a deficient chin often can be treated better by nonextraction orthodontics followed by advancement of the chin than by any regimen involving orthodontic extraction. genioplasty also can be used to improve facial esthetics in the patient with a short mandibular ramus in whom mandibular advancement might well lead to unstable results. In some instances, genioplasty may be a way to overcome the appearance of facial asymmetry without requiring jaw surgery which would complicate a pre-existing adequate occlusion. As a relatively straightforward and predictable procedure, augmentation genioplasty should be used more often in conjunction with orthodontic treatment than it has been in the past.- - - - - - - - - - ranking = 0.33333333333333keywords = extraction (Clic here for more details about this article) |
4/5. Periapical radiographs as an aid in diagnosing fractures of the mandibular angle.Various radiographic techniques are applied for diagnosing mandibular fractures. Standard radiographs used in the hospital to diagnose mandibular fractures have included lateral oblique, posteroanterior, and fronto-occipital (Towne) mandibular projections. If positive, the panoramic radiograph can be used as the sole radiograph. A case is reported of a unilateral fracture of the mandibular angle, which became evident about one month after extraction of the mandibular third molars. Neither the lateral oblique nor the panoramic projection revealed the fracture; however, periapical films showed the fracture through the extraction site.- - - - - - - - - - ranking = 0.22222222222222keywords = extraction (Clic here for more details about this article) |
5/5. Early warning signs of impending hypoglycaemia masked by post-extraction labial paraesthesia.Temporary lingual and labial paraesthesia are not uncommon following the removal of mandibular third molar teeth. In patients with insulin-treated diabetes circum-oral paraesthesia is a common and important sign of impending hypoglycaemia. This report highlights the case of a 17-year-old girl with Type 1 (insulin-dependent) diabetes who, following the extraction of her four wisdom teeth, experienced minor circum-oral sensory disturbances. These effectively masked her early warning signs of impending hypoglycaemia which had hitherto allowed her to have very good glycaemic control. Trembling, sweating and loss of concentration became the new presenting symptom complex, which she found both disabling and worrying. Fortunately, within six months the paraesthesia had subsided and the patient was once again able to appreciate her usual warning symptom of impending hypoglycaemia.- - - - - - - - - - ranking = 0.55555555555556keywords = extraction (Clic here for more details about this article) |