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Oral anesthesia and facial paralysis

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Trigeminal neuralgia is caused due to compression of the trigeminal nerve. In rare cases, such as cyst of tooth origin, may lead to trigeminal neuralgia. The pain that caused in trigeminal neuralgia usually occurs in the upper jaw, cheeks, gums, and teeth. On examination, the dentist does not find any abnormality as the reason for pain is not due to teeth or oral abnormality rather the problem is related to the nervous system. A case has been reported in which the patient suffering from a cyst of tooth origin also has trigeminal neuralgia.
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Bell's palsy

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Facial Paralysis | Johns Hopkins Medicine

The problem is obviously clinically relevant, because residual paralysis after emergence from anesthesia henceforth referred to as residual paralysis is associated with muscle weakness, oxygen desaturation, pulmonary collapse, and acute respiratory failure that could lead to severe permanent brain damage or death. Despite extensive documentation of such residual paralysis in the literature, awareness of its clinical consequences remains surprisingly limited, and the use of NMBDs, neuromuscular monitoring, and reversal agents are dictated more by tradition and local practices than by evidence-based medicine. Residual paralysis is associated with postoperative complications such as hypoxia, weakness, and respiratory failure. However, these complications may have many other causes so that the role of neuromuscular block is often unrecognized.
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Should You Worry about Bell's Palsy after Dental Treatment?

There has been some reports that this condition may be caused by dental treatment, but the association is very rare, and should not cause anyone to hesitate in getting dental treatment. Sufferers lose the ability to move many of the muscles on one side of their face, as well as the ability to feel that side of their face. There is also concern that the eye may be damaged because the inability to blink causes it to dry out. Some also express concern that dental care may be affected because you may be unaware that you are experiencing pain in your mouth on that side. With treatment, typically steroid injection, the length of the condition may be reduced.
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Local Anesthesia can produce quite a few complications, that can include the blood vessels and nerves in the areas that were included or targeted during the Dental Anesthesia Administration. Below is what we call Facial Nerve Paralysis and Paresis, affecting the Facial Nerve that has got a lot of supply to the facial regions. Facial nerve is the seventh cranial nerve, which carries the motor impulses to the various muscles responsible for the facial expression, the scalp and external ear. Facial Nerve Paralysis mainly is caused due to the introduction of the Local anesthetic into the capsule of the parotid gland.
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