Key Points
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A periapical pocket cyst usually responds to root canal treatment.
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All the possible treatment modalities of a jaw lesion should be implemented before tooth extraction or any other surgical intervention.
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Always check whether the epithelial lining of the cyst is continuous with the root or not.
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Early diagnosis would save considerable worry and discomfort for the patient.
Abstract
Lower lip numbness is a symptom that may be due to entirely benign causes, or it may be the first sign of a more sinister problem. It has been reported as being the sole symptom of pathological lesions and metastatic tumours in the mandible.
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References
Ramachandran Nair PN . Light and electron microscopic studies of root canal flora and periapical lesions. J Endod 1987; 13: 29–39.
Nair PN, Sjogren U, Krey G, Kahnberg KE, Sundqvist G . Intraradicular bacteria and fungi in root-filled, asymptomatic human teeth with therapy-resistant periapical lesions: a long-term light and electron microscopic follow-up study. J Endod 1990; 16: 580–588.
Simon JH . Incidence of periapical cysts in relation to the root canal. J Endod 1980; 6: 845–8.
Ramachandran Nair PN, Pajarola G, Schroeder HE . Types and incidence of human periapical lesions obtained with extracted teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996; 81: 93–102.
Nair PN, Schroeder HE . Epithelial attachment at diseased human tooth-apex. J Periodontal Res 1985; 20: 293–300.
Flower EA, Yeung J . Lip numbness, sometimes a sinister symptom. Br Dent J 1989; 166: 46–48.
LaBanc JP, Epker BN . Serious inferior alveolar nerve dysesthesia after endodontic procedure: report of three cases. J Am Dent Assoc 1984; 108: 605–7.
Jagger RG . Lip numbness — sometimes a sinister symptom. Br Dent J 1989; 166: 281–282.
Morse DR . Infection-related mental and inferior alveolar nerve paresthesia: literature review and presentation of two cases. J Endod 1997; 23: 457–460.
Di Lenarda R, Cadenaro M, Stacchi C . Paresthesia of the mental nerve induced by periapical infection: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 90: 746–749.
Elliston NK, Hoen MM . Infectious transient dentalrelated paresthesia. Gen Dent 1996; 44: 66–69.
Giuliani M, Lajolo C, Deli G, Silveri C . Inferior alveolar nerve paresthesia caused by endodontic pathosis: a case report and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001; 92: 670–674.
Ngeow WC . Lower lip numbness due to peri-radicular dental infection. Med J Malaysia 1998; 53:446–448.
Gilbert BO, Dickerson AW . Paresthesia of the mental nerve after an acute exacerbation of chronic apical periodontitis. J Am Dent Assoc 1981; 103: 588–590.
Rohrer MD, Colyer J. Mental nerve paresthesia: symptom for a widespread skeletal metastatic adenocarcinoma. J Oral Surg 1981; 39: 442–445.
Lambrianidis T, Molyvdas J. Paresthesia of the inferior alveolar nerve caused by periodontalendodontic pathosis. Oral Surg Oral Med Oral Pathol 1987; 63: 90–92.
Joubert JJ, Farman AG, Nortje CJ . Lip paresthesia of dental origin. J Oral Med 1979; 34: 26–27.
Gulicher D, Gerlach KL . Incidence, risk factors and follow-up of sensation disorders after surgical wisdom tooth removal. Study of 1,106 cases. Mund Kiefer Gesichtschir 2000; 4: 99–104.
Dempf R, Hausamen JE . Lesions of the inferior alveolar nerve arising from endodontic treatment. Aust Endod J 2000; 26: 67–71.
Abbott PV . Lower lip paraesthesia following restoration of a second premolar tooth. Case report. Aust Dent J 1997; 42: 297–301.
Zmener O . Mental nerve paresthesia associated with an adhesive resin restoration: a case report. J Endod 2004; 30: 117–119.
Nazarian Y, Eliav E, Nahlieli O . Nerve injury following implant placement: prevention, diagnosis and treatment modalities. Refuat Hapeh Vehashinayim 2003; 20: 44–50. 101.
Willy PJ, Brennan P, Moore J . Temporary mental nerve paraesthesia secondary to orthodontic treatment — a case report and review. Br Dent J 2004; 196: 83–84.
Becelli R, Renzi G, Carboni A, Cerulli G, Gasparini G . Inferior alveolar nerve impairment after mandibular sagittal split osteotomy: an analysis of spontaneous recovery patterns observed in 60 patients. J Craniofac Surg 2002; 13: 315–320.
Reboiras Lopez MD, Garcia Garcia A, Antunez Lopez J, Blanco Carrion A, Gandara Vila P, Gandara Rey JM . Anaesthesia of the right lower hemilip as a first manifestation of multiple myeloma. Presentation of a clinical case. Med Oral 2001; 6: 168–172.
Ugboko VI, Ndukwe KC, Adelusola KA, Durosinmi MA . Burkitt's lymphoma presenting as lower lip paraesthesia in a 24 year old Nigerian. Case report. Aust Dent J 1999; 44: 58–60.
Azar I, Lear E . Lower lip numbness following general anesthesia. Anesthesiology 1986; 65: 450–451.
Borio PS, Giordano M, Mina M . Anesthesia in the chin area resolved by endodontic treatment. Minerva Stomatol 1984; 33: 465–468.
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Jerjes, W., Swinson, B., Banu, B. et al. Paraesthesia of the lip and chin area resolved by endodontic treatment: A case report and review of literature. Br Dent J 198, 743–745 (2005). https://doi.org/10.1038/sj.bdj.4812412
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DOI: https://doi.org/10.1038/sj.bdj.4812412
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