Paresthesias in Dentistry - 04/08/11

Doi : 10.1016/j.cden.2010.06.016

Paul A. Moore, DMD, PhD, MPH ^a,^b,^c,^d,^⁎ , Daniel A. Haas, DDS, PhD ^e,^f,^g,^h
^a Department of Dental Anesthesiology, School of Dental Medicine, University of Pittsburgh, Pittsburgh, PA 15261, USA
^b Pharmacology and Dental Public Health, School of Dental Medicine, University of Pittsburgh, Pittsburgh, PA 15261, USA
^c School of Pharmacy, University of Pittsburgh, Pittsburgh, PA 15261, USA
^d School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA
^e Clinical Sciences, Faculty of Dentistry, University of Toronto, 124 Edward Street Toronto, ON M5G 1G6, Canada
^f Department of Pharmacology, University of Toronto, ON, Canada
^g Faculty of Medicine, University of Toronto, ON, Canada
^h Sunnybrook Health Sciences Centre, ON, Canada

Corresponding author. Department of Dental Anesthesiology, School of Dental Medicine, University of Pittsburgh, Pittsburgh, PA 15261.

Résumé

Alterations to normal oral sensory function can occur following restorative and surgical dental procedures. Paresthesia is defined as an abnormal sensation, such as burning, pricking, tickling, or tingling. Paresthesias are one of the more general groupings of nerve disorders known as neuropathies. This article reviews the extent of this oral complication as it relates to dental and surgical procedures, with specific emphasis on paresthesias associated with local anesthesia administration. This review establishes a working definition for paresthesia as it relates to surgical trauma and local anesthesia administration, describes the potential causes for paresthesia in dentistry, assesses the incidence of paresthesias associated with surgery and local anesthesia administration, addresses the strengths and weaknesses in research findings, and presents recommendations for the use of local anesthetics in clinical practice.

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Keywords : Paresthesia, Articaine, Prilocaine, Lidocaine