The importance of clinical features and computed tomographic findings in numb chin syndrome::A report of two cases

Izumi Yoshioka, Shunji Shiiba, Tatsurou Tanaka, Takeshi Nishikawa, Eiji Sakamoto, Shinji Kito, Masafumi Oda, Mao Wakasugi-Sato, Shinobu Matsumoto-Takeda, Shigeyuki Kagawa, Osamu Makanishi, Kazuhiro Tominaga, Yasuhiro Morimoto

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background. Dentists need to be aware of the relationship between malignancies and paresthesia or complete loss of sensation in a jaw segment. In particular, dentists should be aware of numb chin syndrome (NCS) and its clinical manifestations, as well as the limitations of using panoramic radiographs to detect the causative malignancy. Case Descriptions. The authors report two cases of paresthesia in the mental region. No lesions were readily apparent on the patients' panoramic radiographs. To exclude the presence of disease in the mandible that could have been responsible for the NCS, the authors obtained computed tomographic (CT) images. They identified metastases to the mandible from primary malignant tumors elsewhere in the body. Clinical Implications. To prevent misdiagnosis of NCS, dentists need to be aware of the clinical manifestations of NCS, the need for CT imaging, the shortcomings of panoramic radiographs and the value of obtaining detailed and accurate medical and dental histories from patients.

Original languageEnglish
Pages (from-to)550-554
Number of pages5
JournalJournal of the American Dental Association
Volume140
Issue number5
DOIs
Publication statusPublished - Jan 1 2009
Externally publishedYes

    Fingerprint

All Science Journal Classification (ASJC) codes

  • Dentistry(all)

Cite this