Dentistry and facial paralysis

Peripheral facial nerve palsy FNP is a common neuropathy of cranial nerves. However, it is a rare condition in dental treatment and may be associated with local anesthetic injections. Initial trauma to facial nerve cab is usually minor. In this instance, a complete and rapid recovery is expected and most cases resolve within 12 hours. If more extensive damage occurs, nerve palsy can be significant and long lasting. We report a year-old female patient with FNP that developed within 8 hours after a dental procedure.

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Transient Delayed Facial Nerve Palsy After Inferior Alveolar Nerve Block Anesthesia

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Treating Patients with Bell’s Palsy - Dimensions of Dental Hygiene

Facial nerve palsy, as a complication of an inferior alveolar nerve block anesthesia, is a rarely reported incident. Based on the time elapsed, from the moment of the injection to the onset of the symptoms, the paralysis could be either immediate or delayed. The pathogenesis, treatment, and results of an 8-week follow-up for a year-old patient referred to a private maxillofacial clinic are presented and discussed. The patient's previous medical history was unremarkable. On clinical examination the patient exhibited generalized weakness of the left side of her face with a flat and expressionless appearance, and she was unable to close her left eye. One day before the onset of the symptoms, the patient had visited her dentist for a routine restorative procedure on the lower left first molar and an inferior alveolar block anesthesia was administered.
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Facial Nerve Anatomy

Dental hygienists learn about a variety of conditions that affect oral health in the course of their clinical education, some of which are rarely encountered in private practice. The condition results in damage to the facial, or 7th cranial nerve Figure 2. In addition, the eye on the affected side will be difficult to close and the corners of the mouth will sag. Numbness or twitching may occur on the affected side of the face, accompanied by pain in or behind the ear. Without an available laboratory test for diagnosis, a differential diagnosis is usually needed.
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The next time you enjoy a delicious treat, you can thank your facial nerve. Because it allows you to taste your food and to smile about it. This nerve is also referred to as the seventh cranial nerve. And it controls your taste sensation for the front two-thirds of the tongue as well as the muscles you use to make facial expressions.
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