Neurosensory Disturbances of the Inferior Alveolar Nerve: A Retrospective Study of Complaints in a 10-Year Period

Libersa, Philippe; Savignat, Mathilde; Tonnel, Anne

doi:10.1016/j.joms.2007.03.023

Cited by 93 publications

(65 citation statements)

References 21 publications

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“…The surgical procedure of removal of these teeth is associated with various complications such as postoperative infection, 1 alveolar fracture 2 and dysfunction of lingual and/ or inferior alveolar nerves. 3 The rate of overall complications has been reported to range from 2.6% to 30.9% 4-7 and lingual and/ or inferior 'Financial or Other Competing Interest': None. Submission 27-09-2017, Peer Review 12-11-2017, Acceptance 18-11-2017, Published 27-11-2017.…”

Section: Resultsmentioning

confidence: 99%

“…The soft tissue healing were assessed qualitatively under the parameters of postoperative swelling, pain, infection and wound dehiscence a week following surgery and recorded in a questionnaire where the scales were absent (0), mild (1), moderate (2) and severe (3). Although, the results did not differ statistically, healing was rated better among the control cases in terms of tissue quality.…”

Section: Mc: Mandibular Canalmentioning

confidence: 99%

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Conventional Technique v/S Two-Stage Technique for Extraction of Impacted Lower Third Molar- A Comprehensive Comparison

Shetty¹,

Malli²

2017

jemds

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BACKGROUNDExtraction of impacted mandibular third molars is a routinely performed procedure and is commonly associated with the worrisome complications of inferior alveolar nerve (IAN) injury. Many different techniques have been advocated over the conventional extraction procedures to overcome these complications. The two-stage technique for removal of impacted mandibular molars is one such novel technique that has been discussed in literature, but not very often used. Our study aims to compare this technique with the conventional technique and evaluate its advantages if any.The aim of this prospective comparative study was to evaluate the pros and cons of the two-stage technique of extraction of impacted lower third molar to the conventional technique in terms of Inferior alveolar nerve (IAN) injury, healing post-operatively and patient's compliance as a whole. MATERIALS AND METHODSThis clinical prospective non-randomised controlled trial involved twenty patients diagnosed with horizontally impacted lower third molar in close proximity of the inferior alveolar nerve placed. The sample size was chosen as per convenience. The subjects were placed arbitrarily into two groups of ten patients-Test group and Control group respectively. The control group underwent the conventional technique of transalveolar extraction for the impacted lower molar and the test group underwent the two-stage technique for removal of the same. RESULTSBetween June 2014 -September 2016, twenty patients were included in the study; 8 of the patients were women (40%) and 12 men (60%) with a mean age of 25 years. The test and control groups showed no significant difference in the incidence of IAN injury (10% v/s 20% respectively). Healing of the soft tissues was better in the control group, as was the patient's compliance and operator satisfaction. CONCLUSIONBoth the techniques studied have their own advantages and disadvantages with neither techniques being significantly better than the other. Judicious use of the two-stage technique, two-stage method for extracting a horizontally impacted lower third molar however can be useful for decreasing the rate of post-operative complication of inferior alveolar nerve injury. As simple, humble and routine as the procedure seems, every case poses its own challenge more so pertaining to horizontally impacted lower third molars. The surgical procedure of removal of these teeth is associated with various complications such as postoperative infection, 1 alveolar fracture 2 and dysfunction of lingual and/ or inferior alveolar nerves. 3 The rate of overall complications has been reported to range from 2.6% to 30.9% 4-7 and lingual and/ or inferior 'Financial or Other Competing Interest': None. Submission 27-09-2017, Peer Review 12-11-2017, Acceptance 18-11-2017, Published 27-11-2017. Corresponding Author: Dr. Tripthi Prakash Shetty, Senior Lecturer, Department of Oral and Maxillofacial Surgery, A. B. Shetty Memorial Institute of Dental Sciences, Nitte University, Derlakatte, Mangalore 575018....

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Section: Resultsmentioning

confidence: 99%

Section: Mc: Mandibular Canalmentioning

confidence: 99%

Conventional Technique v/S Two-Stage Technique for Extraction of Impacted Lower Third Molar- A Comprehensive Comparison

Shetty¹,

Malli²

2017

jemds

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“…Les lésions iatrogènes du nerf trijumeau au décours d'un acte endobuccal sont fréquentes, notamment lors de l'avulsion des 3 es molaires mandibulaires ou lors des traitements endodontiques en secteur postérieur mandibulaire [1]. Concernant les complications lors d'un acte implantaire, la prévalence des lésions nerveuses iatrogènes semble faible bien que les données épidémiologiques soient souvent anciennes et variables selon les sources.…”

Section: Introductionunclassified

“…Cependant, les auteurs d'une autre étude datant de 1999 retrouvent un risque de 0,13 % de lésion nerveuse post-implantaire dont aucune défi-nitive, après analyse de 1 527 patients partiellement ou totalement édentés et ayant reçu 2 584 implants dans la région postérieure mandibulaire [3]. Par ailleurs, les données d'une compagnie d'assurance française reprises par une étude datant de 2007 évaluent un risque de 0,008 % de lésion nerveuse postimplantaire par an et par odontologiste [1]. Enfin, une étude récente (2014) réalisée sur 93 patients avec 325 implants posés retrouvait un taux global de 16,1 % de paresthésie, sans précision quant au suivi évolutif [4].…”

Section: Introductionunclassified

Douleur neuropathique chronique suite à une chirurgie implantaire : à propos de 8 cas

Doustkam

Quang

Lescaille

et al. 2017

Med Buccale Chir Buccale

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Résumé -Introduction : L'objectif principal de cette étude était de proposer, au travers de la description d'une série de cas, les facteurs de risque en lien avec une douleur neuropathique chronique post-implantaire, notamment sans cause traumatique initiale objectivée. Patients et méthodes : Sur 164 patients suivis dans une consultation de la douleur du service d'odontologie inclus pendant un an, 41 patients présentaient des douleurs neuropathiques chroniques iatrogènes oro-faciales, dont 8 présentaient des douleurs chroniques apparues après une chirurgie implantaire. Chez ces 8 patients, nous avons recueilli les données épidémiologiques (âge, sexe, antécédents), les critères propres aux implants dentaires (localisation, nombre) ainsi que des critères en lien avec la douleur neuropathique elle-même (facteur déclenchant, localisation, évolution). Résultats : Chez ces 8 patients d'une moyenne d'âge de 55 ans, de nette prédominance féminine, 18 implants avaient été posés (12 à la mandibule et 6 au maxillaire). Sept patients sur 8 bénéficiaient de la pose d'au moins 2 implants. Quatre cas sur 8 ont eu comme symptôme initial une décharge électrique dont l'origine coïncidait, pour 3 d'entre eux, à la mise en charge ou la mise en fonction. Pour 7 patients, les implants avaient été déposés, ce qui a été un succès clinique en terme de douleur pour un seul d'entre eux. Conclusion : La fréquence et les facteurs de risque de douleurs neuropathiques post-implantaires sont à l'heure actuelle encore mal connus. La mise en place d'implants multiples, la survenue de décharges électriques lors de la mise en fonction ou de la mise en charge pourraient être des facteurs prédisposants non décrit à ce jour. Des études prospectives seraient nécessaires pour mieux les évaluer prenant également en compte les aspects anatomiques et radiologiques. Abstract -Chronic neuropathic pain following dental implant

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“…17 Good aspects of CBCT imaging are its accessibility, easy handling and that it offers a real-size dataset with multi planar cross-sectional and 3D reconstructions. [18][19][20] Cone-beam computed tomography can determine the exact location of the impacted teeth and their relationship to surrounding structures. 21 Data gathered from imaging can be reformatted to show sequential slices through the oral and maxillofacial complex in the axial, coronal and sagittal planes.…”

mentioning

confidence: 99%

Evaluation of the Relationship between Mandibular Third Molar and Mandibular Canal by Different Algorithms of Cone-beam Computed Tomography

Mehdizadeh

Ahmadi

Jamshidi

2014

The Journal of Contemporary Dental Practice

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Objectives: Exact location of the inferior alveolar nerve (IAN) bundle is very important. The aim of this study is to evaluate the relationship between the mandibular third molar and the mandibular canal by cone-beam computed tomography. Study design:This was a cross-sectional study with convenience sampling. 94 mandibular CBCTs performed with CSANEX 3D machine (Soredex, Finland) and 3D system chosen. Vertical and horizontal relationship between the mandibular canal and the third molar depicted by 3D, panoramic reformat view of CBCT and cross-sectional view. Cross-sectional view was our gold standard and other view evaluated by it.Results: There were significant differences between the vertical and horizontal relation of nerve and tooth in all views (p < 0.001). Conclusion:The results showed differences in the position of the inferior alveolar nerve with different views of CBCT, so CBCT images are not quite reliable and have possibility of error.

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Neurosensory Disturbances of the Inferior Alveolar Nerve: A Retrospective Study of Complaints in a 10-Year Period

Cited by 93 publications

References 21 publications

Conventional Technique v/S Two-Stage Technique for Extraction of Impacted Lower Third Molar- A Comprehensive Comparison

Conventional Technique v/S Two-Stage Technique for Extraction of Impacted Lower Third Molar- A Comprehensive Comparison

Douleur neuropathique chronique suite à une chirurgie implantaire : à propos de 8 cas

Evaluation of the Relationship between Mandibular Third Molar and Mandibular Canal by Different Algorithms of Cone-beam Computed Tomography

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