Inferior alveolar nerve (IAN) paraesthesia is traditionally associated with surgical interventions, such as third molar extractions or orthognathic surgery.
However, its occurrence during non-surgical, routine orthodontic tooth movement represents an exceptional clinical scenario that demands immediate diagnostic attention and careful biomechanical management.
The manifestation of altered sensation, numbness, or tingling along the distribution of the IAN during active tooth movement can be triggered by structural factors, such as anatomical proximity of roots to the mandibular canal, unexpected root resorption, or localized compressive ischemic forces.
Beyond the immediate functional challenges, nerve injuries can cause substantial distress and psychological anxiety for the patient, highlighting the importance of early detection and intervention.
► DENTAL BOOK: Orthodontics - Diagnosis and Management of Malocclusion and Dentofacial Deformities - Om Prakash Kharbanda
This clinical case report meticulously documents the presentation, diagnosis, and management of a patient who developed IAN paraesthesia as a direct complication of non-surgical orthodontic mechanics.
By evaluating the underlying etiology and the subsequent resolution of symptoms, this study emphasizes the crucial role of precise radiographic assessment and adapted biomechanics in safeguarding neurological structures during orthodontic treatment.
📖 Read the Full Study: To review the complete diagnostic timeline, specific orthodontic mechanics, and the patient's neurological recovery process, you can access and download the full article in PDF format here.
