Tratamento de parestesia após a extração do terceiro molar inferior: revisão de literatura

Abstract

he paresthesia of the inferior alveolar nerve associated with the removal of the third molar is an occurrence in dental offices, where the position of the third molar can favor the process. It is characterized as paresthesia when after a lower third molar dental surgery, the patient reports feeling discomforts such as tingling, numbness, pain, or changes in sensitivity to cold and heat. All this happens because the inferior alveolar nerve (NAI) and the lingual nerve (NL) are peripheral and when they suffer injury they release amino acids and neurotransmitters that when presented in high concentration make these neurons more susceptible to injury, which can be avoided by correctly using imaging methods such as periapical radiographs However, when they occur, the methods of treatment for the return of sensitivity are acupuncture, micro-neurosurgery, medication, low power laser, electrostimulation, physiotherapy, and moist heat. The purpose of this work is to help dental surgeons to deal with paresthesia, having knowledge about its risks and treatments, searching for articles using the key words paresthesia, treatment, third, molar. Fifteen articles were selected that point out the best conduct to be taken for each case of paresthesia. Therefore, there is no totally effective treatment, and these reports show an improvement in sensitivity that is unique to each case, such as the most severe nerve disruption where the best conduct is micro-neurosurgery