Frequency of Trigeminal Nerve Injuries Following Third Molar Removal

Robert, Richard C.; Bacchetti, Peter; Pogrel, M. Anthony

doi:10.1016/j.joms.2005.02.006

Cited by 119 publications

(54 citation statements)

References 15 publications

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“…A 0.6 % to 2.0 % incidence of lingual nerve damage has been reported following third molar extraction. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Lingual nerve damage can result in anaesthesia, par aesthesia, dysaesthesia or hypoaesthesia. Furthermore, depending on the type and severity of nerve disturbance, this dam age can cause drooling, tongue biting, a burning sensation of the tongue, pain and a change in speech pattern.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, depending on the type and severity of nerve disturbance, this dam age can cause drooling, tongue biting, a burning sensation of the tongue, pain and a change in speech pattern. 14,19-21 In a study 15 that observed the fre quency of trigeminal nerve injuries fol lowing third molar removal by 535 oral and maxillofacial surgeons (OMFS), rep resenting 86% of all OMFS in California, it was estimated that nearly all (94.5%) of the surgeons reported some cases of inferior alveolar nerve injury and 53% of surgeons reported cases of lingual nerve injury.…”

Section: Discussionmentioning

confidence: 99%

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The relationship of the lingual nerve to the third molar region using radiographic imaging

2007

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PRACTICE I N B R I E F• Lingual nerve damage is a common complication during oral and maxillofacial surgery procedures in the third molar region.• The anatomy of the lingual nerve is variable; therefore precise anatomical knowledge of this nerve is important for decreasing the damage risk.• The data presented in this paper should be a useful reference for surgical procedures undertaken by maxillofacial surgeons.The relationship of the lingual nerve to the third molar region using radiographic imaging P. Karakas, 1 M. Üzel 2 and J. Koebke 3Objective Lingual nerve damage is a common complication during oral and maxillofacial surgery procedures to the third molar region. The anatomy of the lingual nerve is variable, therefore the precise knowledge of anatomy of this nerve is important for decreasing the damage risk. The purpose of this study was to determine the position and the shape of the lingual nerve in the third molar region using radiographic imaging. Setting The Anatomy Department of Cologne Uni versity in Germany. Materials and Methods Firstly, an anatomic dissection of the lingual nerve in the third molar region was done on 10 whole heads and one sagittal hemisection head specimen of adult cadavers. After marking the nerve, x-ray films were taken. Vertical and horizontal measurements were made from the radiographs with an electronic digital caliper. Results The mean vertical and horizontal distances of the nerve to the lingual crista and lingual plate of the mandible were found to be 9.5 ± 5.2 mm and 4.1 ± 1.9 mm respectively. Additionally, of the 21 lingual nerves examined, 17 (81%) were round and 4 (19%) were fl at. Conclusions The results reflect the relationship of the nerve to this area and may help the clinician to avoid the damage risk.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The relationship of the lingual nerve to the third molar region using radiographic imaging

2007

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“…The latter includes extraction of the mandibular third molar, dental implant placement, and apicectomies or endodontic treatment of the mandibular molars or premolars [1][2][3] . Inferior alveolar nerve (IAN) injury is one of the most serious complications of mandibular molar surgery, which may affect the quality of the patient's life and may cause the litigation for mal-practice 4 .…”

Section: Introductionmentioning

confidence: 99%

“…Inferior alveolar nerve (IAN) injury is one of the most serious complications of mandibular molar surgery, which may affect the quality of the patient's life and may cause the litigation for mal-practice 4 . Permanent injury to the IAN is estimated between 0.4-23% 1,5,6 .…”

Section: Introductionmentioning

confidence: 99%

Tooth multi-sectioning with the use of magnification, for extraction of a deeply impacted lower second molar with entrapment of the inferior alveolar nerve: Report of a case

Tilaveridis¹,

Dalambiras²,

Λαζαρίδου³

et al. 2016

Balkan J Dent Med

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SUMMARY Inferior alveolar nerve injury is one of the most serious complications of mandibular molar surgery and may lead to litigation for mal-practice. Entrapment of the inferior alveolar nerve to roots of an impacted mandibular molars is extremely rare. The aim of this case report is to stress the importance of tooth multi-sectioning with the use of magnification for the safe removal of a deeply impacted second molar with entrapment of the inferior alveolar nerve in its proximal root.

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“…Data on the LN are especially useful to new practitioners since it has been shown that inexperience on the part of the practitioner is an important factor leading to LN injury [10]. True frequency of LN nerve injury remains controversial and current publications give the considerable variation of 0.2% to 22% [11].…”

Section: Introductionmentioning

confidence: 99%

Morphology and Morphometry of the Lingual Nerve in Relation to the Mandibular Third Molar

Bokindo¹,

Butt²,

Hassanali³

2015

OJST

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The position and branching of the lingual nerve (LN) in the mandibular third molar region were documented in 30 head hemi-sections (16: right and 14: left). In all the dissections, the LN was found below the level of the posterior alveolar crest (PAC). Branching was observed in 26 (86.7%) of the 30 specimen in which one branch was most frequently given per hemi-section. All branches were located superior to the main trunk of the LN. The mean vertical distance of the LN from the PAC was 10.3 ± 5.2 mm (range: 2.8 -19.9 mm) whereas the mean antero-posterior distance was 7.1 ± 2.8 mm (range: 1.3 -15.6 mm). The mean mandibular height from the PAC was 28.7 ± 4.0 mm (range: 23.3 -40.7 mm). The vertical distance and mandibular height correlated positively giving a ratio of 1:2.7 between the two parameters. There was no significant difference between the two sides of the head. Position of the LN differed from previous studies suggesting that ethnicity may have a role in morphometry of the nerve. Use of different methodology may also contribute to this. Branches of the LN being closer to the PAC may be more prone to injury than the main trunk during surgical treatment.

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Frequency of Trigeminal Nerve Injuries Following Third Molar Removal

Cited by 119 publications

References 15 publications

The relationship of the lingual nerve to the third molar region using radiographic imaging

The relationship of the lingual nerve to the third molar region using radiographic imaging

Tooth multi-sectioning with the use of magnification, for extraction of a deeply impacted lower second molar with entrapment of the inferior alveolar nerve: Report of a case

Morphology and Morphometry of the Lingual Nerve in Relation to the Mandibular Third Molar

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