Facial nerve paralysis after dental procedure

• Main Authors: Melda Misirlioglu, Mehmet Z Adisen, Alime Okkesim, Yagmur Y Akyil
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2016-01-01
• Series: Journal of Oral and Maxillofacial Radiology
• Subjects: Bell′s palsy; facial nerve palsy; herpes simplex virus; local anesthetic procedure complications
• Online Access: http://www.joomr.org/article.asp?issn=2321-3841;year=2016;volume=4;issue=3;spage=80;epage=82;aulast=Misirlioglu

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 15-year-old female patient with FNP that developed within 8 hours after a dental procedure. The treatment was continued for 10 days with prednisone and acyclovir. At the end of the 4 th day, movement began to return to her face and the symptoms disappeared within 3 weeks period. In dental practice, it should be considered that iatrogenic factors may play a direct or indirect role in FNP, as presented in our case. Clarification of the etiology and treatment of FNP requires a multidisciplinary medical team. Therefore, dentists should be aware of clinical findings along with an essential treatment plan of FNP in dental office.