| Necrosis of the skin of the chin: a possible complication of inferior alveolar nerve block injection. | |
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MedLine Citation:
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PMID: 19047668 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The literature describes different local complications derived from a local anesthetic. The authors present a report of a case of such a complication-a complication of which they have identified only one other similar case in the literature. CASE DESCRIPTION: A 10-year-old girl received an inferior alveolar nerve block injection for a dental restoration on the right side. After the procedure, she developed pallor of the right side of the lower lip and chin that subsequently evolved into a surface ulceration. The lesion suddenly healed 15 days later. The authors ruled out self-inflicted injury, intra-operative injury and skin infection as causes. CONCLUSIONS: and CLINICAL IMPLICATIONS: On the basis of the clinical manifestations and affected anatomical structures, the authors postulated skin necrosis secondary to vascular spasm of the terminal branches of the inferior alveolar artery. Even when clinicians use the utmost care, this kind of complication can occur as a result of an inferior alveolar nerve block injection. The practitioner should diagnose the problem appropriately and reassure the patient. |
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Authors:
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Eulàlia Torrente-Castells; Jordi Gargallo-Albiol; Alfonso Rodríguez-Baeza; Leonardo Berini-Aytés; Cosme Gay-Escoda |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of the American Dental Association (1939) Volume: 139 ISSN: 0002-8177 ISO Abbreviation: J Am Dent Assoc Publication Date: 2008 Dec |
Date Detail:
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Created Date: 2008-12-02 Completed Date: 2009-02-27 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7503060 Medline TA: J Am Dent Assoc Country: United States |
Other Details:
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Languages: eng Pagination: 1625-30 Citation Subset: D; IM |
Affiliation:
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Master's Program in Oral Surgery and Implantology, Faculty of Dentistry, Autonomous University of Barcelona, Spain. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anesthesia, Dental
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adverse effects* Anesthesia, Local / adverse effects* Carticaine / administration & dosage, adverse effects Child Chin Drug Combinations Epinephrine / administration & dosage, adverse effects Female Follow-Up Studies Humans Injections / adverse effects Mandible Mandibular Nerve Necrosis / etiology Nerve Block / adverse effects* Skin Diseases / etiology, pathology* |
| Chemical | |
Reg. No./Substance:
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0/Drug Combinations; 23964-58-1/Carticaine; 51-43-4/Epinephrine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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