Alonso Ezpeleta, OscarMartín, Pablo J.López López, José, 1958-Castellanos Cosano, LizettMartín González, JeniferSegura Egea, Juan José2015-02-112015-02-112014-04https://hdl.handle.net/2445/62779A 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 extrusion6 p.application/pdfeng(c) Medicina Oral SL, 2014EndodònciaDolor orofacialTractament del dolorEndodonticsOrofacial painPain treatmentinfo:eu-repo/semantics/article6456542015-02-11info:eu-repo/semantics/openAccess24790724