6533b824fe1ef96bd1281563

RESEARCH PRODUCT

Pregabalin in the treatment of inferior alveolar nerve paraesthesia following overfilling of endodontic sealer

José López-lópezOscar Alonso-ezpeletaPablo J MartínLizett Castellanos-cosanoJenifer Martín-gonzálezJuan J. Segura-egea

subject

Orofacial painmedicine.medical_specialtyOrofacial painPanoramic radiographRoot canalPregabalinMandibular canalDentistrySigns and symptomsCase ReportOdontologíaInferior alveolar nerveEndodonticsTractament del dolorstomatognathic systemPrednisonemedicinePain treatmentEndodònciaGeneral DentistryOral Medicine and Pathologybusiness.industry:CIENCIAS MÉDICAS [UNESCO]Ciencias de la saludSurgerymedicine.anatomical_structureUNESCO::CIENCIAS MÉDICASmedicine.symptombusinessDolor orofacialmedicine.drug

description

A case of orofacial pain and inferior alveolar nerve (IAN) paraesthesia after extrusion of endodontic sealer within the mandibular canal treated with prednisone and pregabalin is described. A 36-year-old woman underwent root canal treatment of the mandibular second right premolar tooth. Post-operative panoramic radiograph revealed the presence of radiopaque canal sealer in the mandibular canal. Damage to IAN consecutive to extrusion of endodontic sealer was diagnosed. Non-surgical management was decided, including: 1 mg/kg/day prednisone 2 times/day, once-daily regimen, and 150 mg/day pregabalin, two doses per day, monitoring the progress with periodic follow-up visits. Six weeks after the incident the signs and symptoms were gone. The complete resolution of paraesthesia and the control of pain achieved suggest that a non-surgical approach, combining prednisone and the GABA analogue pregabalin, is a good option in the management of the IAN damage subsequent to endodontic sealer extrusion. Key words:Endodontics, inferior alveolar nerve, neuropathic pain, orofacial pain, paraesthesia, pregabalin.

yearjournalcountryeditionlanguage
2014-04-01
10.4317/jced.51420http://hdl.handle.net/2445/62779