Risk factors associated with injury to the inferior alveolar and lingual nerves following third molar surgery—revisited

Jerjes, Waseem; Upile, Tahwinder; Shah, Priya; Nhembe, Farai; Gudka, D.; Kafas, Panagiotis; McCarthy, Eileen; Abbas, Syedda; Patel, Shelain; Hamdoon, Zaid; Abiola, Jesuloba; Vourvachis, M.; Kalkani, Maria; Al-Khawalde, Mohammed; Leeson, R.A.; Banu, Bilquis; Rob, Jubli; El-Maaytah, Mohammed; Hopper, Colin

doi:10.1016/j.tripleo.2009.10.010

Cited by 142 publications

(129 citation statements)

References 58 publications

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“…These findings go with the observations of previous studies [17,[19][20][21]. Distoangular impactions of lower third molars are generally the most difficult teeth to remove owing to the path of delivery into the ascending ramus [12,13].…”

Section: Discussionsupporting

confidence: 89%

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Factors Influencing Lingual Nerve Paraesthesia Following Third Molar Surgery: A Prospective Clinical Study

Babu

Reddy²,

Pattathan

et al. 2012

J. Maxillofac. Oral Surg.

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Background and Objectives The purpose of this prospective study was to evaluate the incidence and various risk factors influencing the sensory deficit in case of lingual nerve injury (LNI) in individuals whose impacted mandibular third molars are surgically removed under local anesthesia. Materials and Methods The study was based on the data collected prospectively from a random group of 100 patients who underwent surgical removal of bony impacted lower third molar in a dental hospital. Details of the patient, reason for extraction, type of impaction, method of surgery and signs and symptoms of nerve injury are recorded. Neurosensory testing was done to evaluate the LNI at 1 week, 1 months, 3 months and 6 months interval.Comparison was carried out using Chi square test. For all tests a P \ 0.05 was considered significant. Results The incidence of LNI was 4 % and of temporary in nature which recovered well within 6 months postoperatively. The age of the patient above 26 years, lingual flap retraction, depth of impaction (red line C10 mm) and duration of surgery above 30 min were the significant factors for causing LNI. Conclusions The age of the patient, depth of impaction, lingual flap retraction and longer duration of surgery are significant risk factors for LNI during mandibular third molar surgery. Greater care should be taken to avoid the morbidity and patients should be informed well ahead about the probable complications.

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Section: Discussionsupporting

confidence: 89%

“…With an increase in age there is an increase in health risk factors which may influence postoperative recovery [2]. All of the LNI occurred in men, which is in accordance with the results of Jerjes et al [19], whereas some studies found that gender of the patient is not related to nerve injury [20].…”

Section: Discussionsupporting

confidence: 87%

Factors Influencing Lingual Nerve Paraesthesia Following Third Molar Surgery: A Prospective Clinical Study

Babu

Reddy²,

Pattathan

et al. 2012

J. Maxillofac. Oral Surg.

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“…The inferior alveolar nerve (IAN), mental nerve as well as the lingual nerve (LN) are the most injured terminal branches of trigeminal nerve during oral and maxillofacial treatment [1,2]. Damage to the terminal branch of the inferior alveolar nerve is unfortunately a common problem after oral and maxillofacial surgery and even sometimes during routine dental treatment [2,3].…”

Section: Introductionmentioning

confidence: 99%

Neuropathy of Trigeminal Nerve Branches After Oral and Maxillofacial Treatment

Agbaje

Casteele

Hiel

et al. 2015

J. Maxillofac. Oral Surg.

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Objective To report the incidence of trigeminal neuropathy seen among new patients in a referral center within a period of 1 year (2013). The cause of damage, method of management and treatment outcome was assessed after 1-year follow-up. Materials and Methods The records of all new patients visiting the oral and maxillofacial unit of the University hospital of Leuven in 2013 were screened for a history of damage to branches of the trigeminal nerve. The selected records were examined and the duration of nerve damage, received treatment as well as the outcome of the neuropathy after treatment was noted after 1-year follow-up. Results 56 patients (21 males, 35 females) from 7602 new patients had symptoms of damage to the trigeminal nerve branch. These symptoms persist in more than onethird of the patients [21/56 (37.5 %)] after 1-year followup. The least recovery is seen from oral surgery, implant placement, orthognathic surgery and tooth extraction. After 1 year 85 % (12/14) of neuropathic pain cases still have their symptoms as compared to 19 % (5/26) of patients with hypoesthesia. Conclusion This study shows a low incidence of nerve damage among the new patients presenting in oral and maxillofacial surgery clinic (\1 %); however, one-third of patients who sustain nerve damage never recover fully. Early diagnosis of the cause of neuropathy is essential. There is a need to objectively assess all patients with symptoms of trigeminal nerve damage before, during and after treatment.

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“…The great number of impacted tooth removals, the close relation to important anatomic structures and the possibility of third molar surgery complications associated with psychosocial issues, which may affect the quality of the patient's life with long term complications 16 , represent popular topics for discussion among surgeons.…”

Section: Discussionmentioning

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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Risk factors associated with injury to the inferior alveolar and lingual nerves following third molar surgery—revisited

Cited by 142 publications

References 58 publications

Factors Influencing Lingual Nerve Paraesthesia Following Third Molar Surgery: A Prospective Clinical Study

Factors Influencing Lingual Nerve Paraesthesia Following Third Molar Surgery: A Prospective Clinical Study

Neuropathy of Trigeminal Nerve Branches After Oral and Maxillofacial Treatment

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

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