Mental nerve neuropathy following dental extraction

Foad Elahi, Nicholas Manolitsis, Yatish S. Ranganath, Chandan Reddy

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Mental nerve neuropathy (MNN), colloquially referred to as numb chin syndrome, is an uncommon neurologic condition that may arise secondary to multiple local and systemic etiologies, and may mimic other pain conditions affecting the mandible. Early recognition of mental nerve neuropathy in conjunction with accurate etiologic identification is crucial, as early pain management may prevent the transition from an acute to a chronic pain condition. In this article, we will describe the clinical courses of 2 patients who presented to the pain clinic with chronic painful numbness in the mental nerve sensory distribution following dental extraction. After a period of failed conservative medical management and repetitive successful nerve blocks at the mental foramen, we decided to proceed with radiofrequency nerve ablation. In both cases, performance of radiofrequency nerve ablation demonstrated a significant decrease in pain. Within interventional pain medicine, nerve blocks are often utilized to assist with pain generator identification, and resultantly also play an integral role in treatment planning. For instance, nerve blocks are often utilized to establish accurate identification of nerve tissue viability, a preliminary role essential for the determination of whether to proceed with an ablative peripheral nerve procedure. In this article, we will additionally review these important usages of nerve blocks within interventional pain medicine. The objective of our article is to help clinicians identify and properly manage early stage mental nerve neuropathy. Moreover, we aim to advance general medical knowledge of this important pain medicine topic. During the process of preparing this article we reviewed all existing pertinent medical literature related to MNN.

Original languageEnglish (US)
JournalPain Physician
Volume17
Issue number3
StatePublished - Jan 1 2014

Fingerprint

Tooth Extraction
Nerve Block
Pain
Medicine
Pain Clinics
Nerve Tissue
Tissue Survival
Chin
Hypesthesia
Pain Management
Mandible
Peripheral Nerves
Chronic Pain
Nervous System

Keywords

  • Chronic pain
  • Mental nerve
  • Nerve ablation
  • Neuropathy
  • Radiofrequency

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Medicine(all)

Cite this

Elahi, F., Manolitsis, N., Ranganath, Y. S., & Reddy, C. (2014). Mental nerve neuropathy following dental extraction. Pain Physician, 17(3).

Mental nerve neuropathy following dental extraction. / Elahi, Foad; Manolitsis, Nicholas; Ranganath, Yatish S.; Reddy, Chandan.

In: Pain Physician, Vol. 17, No. 3, 01.01.2014.

Research output: Contribution to journalArticle

Elahi, F, Manolitsis, N, Ranganath, YS & Reddy, C 2014, 'Mental nerve neuropathy following dental extraction', Pain Physician, vol. 17, no. 3.
Elahi F, Manolitsis N, Ranganath YS, Reddy C. Mental nerve neuropathy following dental extraction. Pain Physician. 2014 Jan 1;17(3).
Elahi, Foad ; Manolitsis, Nicholas ; Ranganath, Yatish S. ; Reddy, Chandan. / Mental nerve neuropathy following dental extraction. In: Pain Physician. 2014 ; Vol. 17, No. 3.
@article{f05942461f5f4a8b8939e0793e797146,
title = "Mental nerve neuropathy following dental extraction",
abstract = "Mental nerve neuropathy (MNN), colloquially referred to as numb chin syndrome, is an uncommon neurologic condition that may arise secondary to multiple local and systemic etiologies, and may mimic other pain conditions affecting the mandible. Early recognition of mental nerve neuropathy in conjunction with accurate etiologic identification is crucial, as early pain management may prevent the transition from an acute to a chronic pain condition. In this article, we will describe the clinical courses of 2 patients who presented to the pain clinic with chronic painful numbness in the mental nerve sensory distribution following dental extraction. After a period of failed conservative medical management and repetitive successful nerve blocks at the mental foramen, we decided to proceed with radiofrequency nerve ablation. In both cases, performance of radiofrequency nerve ablation demonstrated a significant decrease in pain. Within interventional pain medicine, nerve blocks are often utilized to assist with pain generator identification, and resultantly also play an integral role in treatment planning. For instance, nerve blocks are often utilized to establish accurate identification of nerve tissue viability, a preliminary role essential for the determination of whether to proceed with an ablative peripheral nerve procedure. In this article, we will additionally review these important usages of nerve blocks within interventional pain medicine. The objective of our article is to help clinicians identify and properly manage early stage mental nerve neuropathy. Moreover, we aim to advance general medical knowledge of this important pain medicine topic. During the process of preparing this article we reviewed all existing pertinent medical literature related to MNN.",
keywords = "Chronic pain, Mental nerve, Nerve ablation, Neuropathy, Radiofrequency",
author = "Foad Elahi and Nicholas Manolitsis and Ranganath, {Yatish S.} and Chandan Reddy",
year = "2014",
month = "1",
day = "1",
language = "English (US)",
volume = "17",
journal = "Pain Physician",
issn = "1533-3159",
publisher = "Association of Pain Management Anesthesiologists",
number = "3",

}

TY - JOUR

T1 - Mental nerve neuropathy following dental extraction

AU - Elahi, Foad

AU - Manolitsis, Nicholas

AU - Ranganath, Yatish S.

AU - Reddy, Chandan

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Mental nerve neuropathy (MNN), colloquially referred to as numb chin syndrome, is an uncommon neurologic condition that may arise secondary to multiple local and systemic etiologies, and may mimic other pain conditions affecting the mandible. Early recognition of mental nerve neuropathy in conjunction with accurate etiologic identification is crucial, as early pain management may prevent the transition from an acute to a chronic pain condition. In this article, we will describe the clinical courses of 2 patients who presented to the pain clinic with chronic painful numbness in the mental nerve sensory distribution following dental extraction. After a period of failed conservative medical management and repetitive successful nerve blocks at the mental foramen, we decided to proceed with radiofrequency nerve ablation. In both cases, performance of radiofrequency nerve ablation demonstrated a significant decrease in pain. Within interventional pain medicine, nerve blocks are often utilized to assist with pain generator identification, and resultantly also play an integral role in treatment planning. For instance, nerve blocks are often utilized to establish accurate identification of nerve tissue viability, a preliminary role essential for the determination of whether to proceed with an ablative peripheral nerve procedure. In this article, we will additionally review these important usages of nerve blocks within interventional pain medicine. The objective of our article is to help clinicians identify and properly manage early stage mental nerve neuropathy. Moreover, we aim to advance general medical knowledge of this important pain medicine topic. During the process of preparing this article we reviewed all existing pertinent medical literature related to MNN.

AB - Mental nerve neuropathy (MNN), colloquially referred to as numb chin syndrome, is an uncommon neurologic condition that may arise secondary to multiple local and systemic etiologies, and may mimic other pain conditions affecting the mandible. Early recognition of mental nerve neuropathy in conjunction with accurate etiologic identification is crucial, as early pain management may prevent the transition from an acute to a chronic pain condition. In this article, we will describe the clinical courses of 2 patients who presented to the pain clinic with chronic painful numbness in the mental nerve sensory distribution following dental extraction. After a period of failed conservative medical management and repetitive successful nerve blocks at the mental foramen, we decided to proceed with radiofrequency nerve ablation. In both cases, performance of radiofrequency nerve ablation demonstrated a significant decrease in pain. Within interventional pain medicine, nerve blocks are often utilized to assist with pain generator identification, and resultantly also play an integral role in treatment planning. For instance, nerve blocks are often utilized to establish accurate identification of nerve tissue viability, a preliminary role essential for the determination of whether to proceed with an ablative peripheral nerve procedure. In this article, we will additionally review these important usages of nerve blocks within interventional pain medicine. The objective of our article is to help clinicians identify and properly manage early stage mental nerve neuropathy. Moreover, we aim to advance general medical knowledge of this important pain medicine topic. During the process of preparing this article we reviewed all existing pertinent medical literature related to MNN.

KW - Chronic pain

KW - Mental nerve

KW - Nerve ablation

KW - Neuropathy

KW - Radiofrequency

UR - http://www.scopus.com/inward/record.url?scp=84901282952&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84901282952&partnerID=8YFLogxK

M3 - Article

VL - 17

JO - Pain Physician

JF - Pain Physician

SN - 1533-3159

IS - 3

ER -