Engelsk titel: Sodium hypochlorite-related injury with chronic pain sequelae
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Författare:
Matthews, Joseph
;
Merrill, Robert L
Språk: Eng
Antal referenser: 17
Dokumenttyp:
Fallbeskrivning
UI-nummer: 15023319
Sammanfattning
Background - A 29-year-old woman visited a
general dental residency clinic with a complaint
of severe aching and burning facial pain with
occasional sharp stabbing pain and persistent
numbness. The symptoms had been present
for seven months after sudden onset during
endodontic irrigation with sodium hypchlorite.
She was evaluated and treated by one of the
authors, who was trained in oro-facial pain
management.
Case description - The patient reported experiencing
debilitating symptoms since the
hypochlorite injury. She had been treated with
methylprednisolone followed by antiseizure,
anti-inflammatory and opioid medications
prescribed by a neurologist. Examination and
testing revealed static and dynamic mechanical
allodynia along with neurological deficits
on the left side of the face, implicating both
peripheral and central pain mechanisms. The
oro-facial pain clinician made a diagnosis of peripheral
painful traumatic trigeminal neuropathy
involving all three branches of the left trigeminal
nerve. The addition of an oral neurosensory
stent and modification of medications reduced
the patient’s pain, resulting in improved function
and quality of life.