Facial nerve paralysis after dental procedure

Abstract

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.

Keywords

• Bell′s palsy
• facial nerve palsy
• herpes simplex virus
• local anesthetic procedure complications