The Journal of the American Dental Association
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J Am Dent Assoc, Vol 126, No 8, 1150-1155.
© 1995 American Dental Association
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Journal of the American Dental Association, Vol 126, Issue 8, 1150-1155
Copyright © 1995 by American Dental Association

CLINICAL PRACTICE

Nerve damage associated with inferior alveolar nerve blocks



MA Pogrel, J Bryan, and J Regezi
Department of Oral and Maxillofacial Surgery, University of California, San Francisco 94143-0440, USA.

The authors reviewed 12 cases in which altered sensation occurred in the distribution of the inferior alveolar or lingual nerves following injection of a local anesthetic for restorative treatment only. Most patients suffered only partial damage, but recovery was poor. The exact mechanism of the nerve damage is unknown, but a number of theories are proposed. The extent of this problem is also unknown, but many more cases probably exist than have been reported to date.




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