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Paresthesia or persistent anesthesia is a complication that leads the patient to feel the area anesthetized numb for several hours or days after the injection of local anesthetic. It is a complication often not predictable and is one of the most frequent lawsuit medico-legal. In dental clinical, symptoms present with numbness, swelling, tingling, itching, which may be associated with disorders such as biting the tongue, loss of taste and saliva, speech disorder.
Most principal causes for this condition in dentistry include:

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When your temporomandibular joint is out of balance, it can disrupt many nearby tissues. One important nerve that runs by your temporomandibular joint is the . This nerve carries sensory input from your forehead, face, and jaw to the brain as well as conveying commands back. This is an incredibly important nerve, because our facial muscles are constantly being used, and some estimates say as much as 40% of the brain’s total input comes along the trigeminal nerve.

can cause many symptoms in the face, including numbness. However, this symptom is fairly rare in TMJ, and if you have it, you may be experiencing a different condition.


Meaning of paresthesia medical term

Most cases of awareness are caused by inexperience and poor anesthetic technique. Very rare causes of awareness include drug tolerance, or a tolerance induced by the interaction of other drugs. There are several possible reasons for this: lower alcohol consumption, female hormones, differential fat distribution in the body, but nobody has researched this. Younger age, obesity, tobacco smoking, or long-term use of certain drugs (alcohol, opiates, or amphetamines) may increase the anesthetic dose needed to produce unconsciousness. There may be genetic variations that cause differences in how quickly patients clear anesthetics, and there may be differences in how the sexes react to anesthetics as well. Marked anxiety prior to the surgery can increase the amount of anesthesia required to prevent recall.

Paresthesia | Definition of Paresthesia by Merriam-Webster

Techniques
The most peripheral technique is topical anesthesia to the skin or other body surface. Small and large peripheral nerves can be anesthetized individually (peripheral nerve block) or in anatomic nerve bundles (plexus anesthesia). Spinal anesthesia and epidural anesthesia merges into the central nervous system.
Injection of local anesthetics is often painful. A number of methods can be used to decrease this pain including buffering of the solution with bicarbonate and warming.
Clinical techniques include:

Parathesis - definition of parathesis by The Free Dictionary

In techniques of intravenous and inhalational inductions are used different anesthetic agents.
Most commonly used intravenous induction agents include propofol, ketamine and curare.

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General anesthesia or narcosis is a state of pharmacologically induced coma, temporary and reversible, which induces the patient's suppression of consciousness (), the abolition of pain (), the abolition of memory () relaxation of the muscles (), and the loss of control of the autonomic nervous system reflexes. Its major applications involve surgery.