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Title: Pregabalin in the treatment of inferior alveolar nerve paraesthesia following overfilling of endodontic sealer
Author: Alonso Ezpeleta, Oscar
Martín, Pablo J.
López López, José, 1958-
Castellanos Cosano, Lizett
Martín González, Jenifer
Segura Egea, Juan José
Keywords: Endodòncia
Dolor orofacial
Tractament del dolor
Orofacial pain
Pain treatment
Issue Date: Apr-2014
Publisher: Medicina Oral SL
Abstract: 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
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It is part of: Journal of Clinical and Experimental Dentistry, 2014, vol. 6, num. 2, p. 197-202
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Appears in Collections:Articles publicats en revistes (Odontostomatologia)

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