Lingual nerve injury subsequent to wisdom teeth removal – a 5-year retrospective audit from a high street dental practice

Abstract

Lingual nerve damage subsequent to lower wisdom tooth removal affects a small number of patients, sometimes producing permanent sensory loss or impairment. A number of surgical techniques have been described which are associated with low incidences of this distressing post-operative complication. When a technique is adopted by an individual clinician then a personal audit may be prudent to establish how effective it is in relation to established nerve injury rates. This audit looks at a technique involving the minimal interference of lingual soft tissues during lower wisdom tooth removal in a high street practice situation for patients having mild to moderate impacted wisdom teeth removed under local anaesthetic. It was concluded that the technique employed was associated with a low incidence of lingual nerve trauma, comparable with that reported elsewhere.

Lingual Flap Protection during Third Molar Surgery: A Literature Review

“…After exclusion of 29 duplicates, 40 articles were examined. The subsequent application of inclusion criteria led to the selection of 11 studies 16,[23][24][25][26][27][28][29][30][31][32] and the exclusion of 29 studies 5,14,33-59 (►Fig. 1).…”

“…After exclusion of 29 duplicates, 40 articles were examined. The subsequent application of inclusion criteria led to the selection of 11 studies 16 23 24 25 26 27 28 29 30 31 32 and the exclusion of 29 studies 5 14 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 ( Fig. 1 ).…”

Kroni̇k Skleroze Si̇alo Adeni̇t: 3 Vaka Raporu

“…Tedavi protokolleri ise hala tart›ş›lmaktad›r (9). Protokollerin standardizasyonu hakk›nda yap›lan çal›şmalara rağmen bir sonuca ulaş›lamam›ş olup; bununla birlikte mikro cerrahi gibi tedavi yöntemlerinin uzun dönem sonuçlar› anektodal ve tart›şmal›d›r.…”

Investigation of nerve injury after lower third molar removal

“…A preoperative rinsing with 0.2% chlorhexidine mouthwash for 30–40 seconds was followed. For surgical extractions a mucoperiosteal flap was raised with minimal interference of lingual soft tissues and bone removal and/or tooth sectioned with a medium‐speed hand piece under sufficient sterile solution irrigation; after tooth removal sockets were irrigated with saline. Flap closure was performed using 3‐0 Vicryl Rapid (Ethicon) sutures.…”