18/07/2024
Dental Issues May Present with Numbness and No Pain
Case report
A patient presented with numbness and paresthesia on the lower right side of the lip extending to the chin. Despite having no pain in the tooth, the patient had previously undergone a root canal on the second premolar, which revealed a large periapical abscess on the radiograph.
Clinical Presentation
- **Date of Initial Visit:** June 17th
- **Symptoms:** Numbness and paresthesia on the lower right side of the lip and chin, no tooth pain
- **Previous Treatment:** Root canal on the second premolar
Diagnostic Findings
- **Radiographic Examination:** Significant periapical abscess in the second premolar
- **Blood Sugar Test:** Normal levels
Treatment
Upon re-evaluation, it was decided to re-treat the root canal of the second premolar. During this procedure, an additional canal was discovered..All Thanks to our expertise and the Microscope.The additional canal was cleaned and refilled, addressing the underlying issue of improper initial treatment.
Outcome
As of July 10th, the patient reported a substantial reduction in numbness and paresthesia. The patient expressed comfort and satisfaction with the treatment outcome. Additionally, a prescription for multivitamins was provided to aid in nerve recovery.
Conclusion
The patient's numbness and paresthesia were likely caused by pressure on the nerve due to improper initial root canal treatment. Re-treatment of the root canal, including the discovery and cleaning of an additional canal, successfully relieved the pressure on the nerve. The patient's symptoms have significantly improved with this intervention. Normal blood sugar levels ruled out diabetic neuropathy as a contributing factor.
