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    <Journal>
      <PublisherName>jmedicalcasereports</PublisherName>
      <JournalTitle>Frontiers in Medical Case Reports</JournalTitle>
      <PISSN>I</PISSN>
      <EISSN>S</EISSN>
      <Volume-Issue>Volume 6; Issue 5</Volume-Issue>
      <PartNumber/>
      <IssueTopic>Multidisciplinary</IssueTopic>
      <IssueLanguage>English</IssueLanguage>
      <Season>(Sep-Oct, 2025)</Season>
      <SpecialIssue>N</SpecialIssue>
      <SupplementaryIssue>N</SupplementaryIssue>
      <IssueOA>Y</IssueOA>
      <PubDate>
        <Year>-0001</Year>
        <Month>11</Month>
        <Day>30</Day>
      </PubDate>
      <ArticleType>Medical Case Reports</ArticleType>
      <ArticleTitle>Facial Paralysis After Dental Implant Surgery and Tooth Extraction: A Case Series</ArticleTitle>
      <SubTitle/>
      <ArticleLanguage>English</ArticleLanguage>
      <ArticleOA>Y</ArticleOA>
      <FirstPage>1</FirstPage>
      <LastPage>9</LastPage>
      <AuthorList>
        <Author>
          <FirstName>Sezai</FirstName>
          <LastName>CiftCi</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>N</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Mehmet Sait</FirstName>
          <LastName>Simsek</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
        </Author>
      </AuthorList>
      <DOI/>
      <Abstract>Facial paralysis is a rare but clinically significant complication that may occur following dental procedures. In this study, three cases of facial paralysis are presented: two developed after dental implant surgery and tooth extraction, and one occurred spontaneously. In all patients, facial nerve dysfunction was assessed as Grade VI according to the House–Brackmann scale. Early systemic corticosteroid therapy was initiated in every case, combined with ocular protection and physiotherapy support. During follow-up, all patients demonstrated marked clinical improvement, with significant functional recovery achieved between the 5th and 7th months.&#13;
&#13;
The findings suggest that anesthetic complications and mechanical factors are the primary etiological mechanisms in acute cases of facial paralysis associated with dental procedures, whereas viral reactivation represents the most plausible hypothesis in delayed-onset cases. Early diagnosis, a multidisciplinary management approach, and corticosteroid therapy initiated within the first 72 hours appear to be the most critical determinants of prognosis. Reporting this rarely documented clinical presentation through the current case series provides valuable insights into the underlying mechanisms and underscores the importance of timely intervention strategies.</Abstract>
      <AbstractLanguage>English</AbstractLanguage>
      <Keywords>Facial Paralysis,Implant Surgery,Tooth Extraction,Delayed Facial Paralysis,Corticosteroid Therapy</Keywords>
      <URLs>
        <Abstract>https://www.jmedicalcasereports.org/ubijournal-v1copy/journals/abstract.php?article_id=15997&amp;title=Facial Paralysis After Dental Implant Surgery and Tooth Extraction: A Case Series</Abstract>
      </URLs>
      <References>
        <ReferencesarticleTitle>References</ReferencesarticleTitle>
        <ReferencesfirstPage>16</ReferencesfirstPage>
        <ReferenceslastPage>19</ReferenceslastPage>
        <References>Al-Muharraqi MA, Oand;#39;Sullivan EC. Unilateral facial nerve paralysis following an infected lower third molar. Int J Oral Maxillofac Surg 2010; 39: 192-195.&#13;
&#13;
Burke RH, Adams JL. Immediate cranial nerve paralysis during removal of a mandibular third molar. Oral Surg Oral Med Oral Pathol 1987; 63: 172-174.&#13;
&#13;
Cakarer S, Can T, Cankaya B, Erdem MA, Yazici S, Ayintap E, and;Ouml;zden AV, Keskin C. Peripheral facial nerve paralysis after upper third molar extraction. J Craniofac Surg 2010; 21: 1825-1827.&#13;
&#13;
Chevalier V, Arbab-Chirani R, Tea SH, Roux M. Facial palsy after inferior alveolar nerve block: case report and review of the literature. Int J Oral Maxillofac Surg 2010; 39: 1139-1142.&#13;
&#13;
El Hayderi L, Delvenne P, Rompen E, Senterre JM, Nikkels AF. Herpes simplex virus reactivation and dental procedures. Clin Oral Investig 2013; 17: 1961-1964.&#13;
&#13;
Evangelista De Leon R, Cabrera R, Guerrero P. Routine Dental Procedure Induced Hemifacial Paralysis—Case Report. SVOA Dentistry 2024; 5: 202-206.&#13;
&#13;
Eviston TJ, Croxson GR, Kennedy PG, Hadlock T, Krishnan AV. Belland;#39;s palsy: aetiology, clinical features and multidisciplinary care. J Neurol Neurosurg Psychiatry 2015; 86: 1356-1361.&#13;
&#13;
Gaudin RA, Robinson M, Banks CA, Baiungo J, Jowett N, Hadlock TA. Emerging vs Time-Tested Methods of Facial Grading Among Patients with Facial Paralysis. JAMA Facial Plast Surg 2016; 18: 251-257.&#13;
&#13;
Gray RL. Peripheral facial nerve paralysis of dental origin. Br J Oral Surg 1978; 16: 143-150.&#13;
&#13;
Hohman MH, Hadlock TA. Etiology, diagnosis, and management of facial palsy: 2000 patients at a facial nerve center. Laryngoscope 2014; 124: E283-E293.&#13;
&#13;
Jenyon T, Panthagani J, Green D. Transient facial nerve palsy following dental local anaesthesia. BMJ Case Rep 2020; 13: e234753.&#13;
&#13;
Jowett N, Hadlock TA. Contemporary management of Bell palsy. Facial Plast Surg 2015; 31: 93-102.&#13;
&#13;
Kang TS, Vrabec JT, Giddings N, Terris DJ. Facial nerve grading systems (1985-2002): beyond the House-Brackmann scale. Otol Neurotol 2002; 23: 767-771.&#13;
&#13;
Ling KC. Peripheral facial nerve paralysis after local dental anesthesia. Oral Surg Oral Med Oral Pathol 1985; 60: 23-24.&#13;
&#13;
Lydiatt DD. Medical malpractice and facial nerve paralysis. Arch Otolaryngol Head Neck Surg 2003; 129: 50-53.&#13;
&#13;
Mavrikakis I. Facial nerve palsy: anatomy, etiology, evaluation, and management. Orbit 2008; 27: 466-474.&#13;
&#13;
Miller CS, Avdiushko SA, Kryscio RJ, Danaher RJ, Jacob RJ. Effect of prophylactic valacyclovir on the presence of human herpesvirus DNA in saliva of healthy individuals after dental treatment. J Clin Microbiol 2005; 43: 2173-2180.&#13;
&#13;
Peitersen E. Belland;#39;s palsy: the spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies. Acta Otolaryngol Suppl 2002; 549:4-30.&#13;
&#13;
Reich SG. Belland;#39;s Palsy. Continuum (Minneap Minn). 2017 Apr;23(2, Selected Topics in Outpatient Neurology): 447-466.&#13;
&#13;
Stahl N, Ferit T. Recurrent bilateral peripheral facial palsy. J Laryngol Otol 1989; 103: 117-119.&#13;
&#13;
Taverner D, Kemble F, Cohen SB. Prognosis and treatment of idiopathic facial (Belland;#39;s) palsy. Br Med J 1967; 4: 581-582.&#13;
&#13;
Vasconcelos BC, Bessa-Nogueira RV, Maurette PE, Carneiro SC. Facial nerve paralysis after impacted lower third molar surgery: a literature review and case report. Med Oral Patol Oral Cir Bucal 2006; 11: E175-E178.</References>
      </References>
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