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. The reader should understand that mental paraesthesia can be an unexpected outcome in the most routine of mandibular extractions.