Unexpected temporary mental nerve deficit after extraction of mandibular first molar: case report.

Abstract

Temporary neurologic deficit affecting the distribution of the left mental nerve was reported in a warfarinized, diabetic patient who had a history of previous CVA with right-sided body weakness. The neurologic deficit was reported following routine extraction of a left mandibular first molar. Recovery of sensation began six weeks after the procedure. Possible mechanisms and preventive measures are discussed. Clinical Relevance: The reader should understand that mental paraesthesia can be an unexpected outcome in the most routine of mandibular extractions.