Yoshioka et al 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, computed tomographic (CT) images should be obtained. The images identified metastases to the mandible from primary malignant tumors elsewhere in the body. To prevent misdiagnosis of numb chin syndrome (NCS), dentists need to be aware of the clinical manifestations of NCS, the need for CT imaging, the shortcommings of panoramic radiographs and the value of obtaining detailed and accurate medical and dental histories from patients.

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