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Quintessence Publishing: Journals: QI
Quintessence International

Edited by Eli Eliav

ISSN 0033-6572 (print) • ISSN 1936-7163 (online)

May 2012
Volume 43 , Issue 5

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An uncommon clinical feature of IAN injury after third molar removal: A delayed paresthesia case series and literature review

Andrea Borgonovo, MD, DMD/Albino Bianchi, DDS/Andrea Marchetti, DDS/Rachele Censi, DDS/Carlo Maiorana, MD, DDS

Pages: 353-359
PMID: 22536586

After an inferior alveolar nerve (IAN) injury, the onset of altered sensation usually begins immediately after surgery. However, it sometimes begins after several days, which is referred to as delayed paresthesia. The authors considered three different etiologies that likely produce inflammation along the nerve trunk and cause delayed paresthesia: compression of the clot, fibrous reorganization of the clot, and nerve trauma caused by bone fragments during clot organization. The aim of this article was to evaluate the etiology of IAN delayed paresthesia, analyze the literature, present a case series related to three different causes of this pathology, and compare delayed paresthesia with the classic immediate symptomatic paresthesia. (Quintessence Int 2012;43:353359)

Key words: delayed paresthesia, IAN, inferior alveolar nerve, nerve exposure, third molar, wisdom tooth

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