Etiology of Lingual Nerve Injuries in the Third Molar Region: A Cadaver and Histologic Study

Pogrel, M. Anthony; Le, Hung

doi:10.1016/j.joms.2006.05.060

Cited by 24 publications

(10 citation statements)

References 9 publications

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“…Likewise, due to the anatomical position of the lingual nerve in relation to the third molar, the former can be damaged during maneuvering to extract the molar (6,8-10). Schultze-Mosgau and Reich (11), in a series of 1107 molar extractions, reported neuropathy affecting the inferior alveolar nerve and lingual nerve in 2.2% and 1.4% of the cases, respectively.…”

Section: Discussionmentioning

confidence: 99%

Post-traumatic trigeminal neuropathy. A study of 63 cases

Peñarrocha¹,

Peñarrocha²,

Bagán³

et al. 2012

Med Oral

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Introduction. Trigeminal neuropathy is most often secondary to trauma. The present study explores the underlying causes and the factors that influence recovery. Material and methods. A retrospective case study was made involving 63 patients with trigeminal neuropathy of traumatologic origin, subjected to follow-up for at least 12 months. Results. Fifty-four percent of all cases were diagnosed after mandibular third molar surgery. In 37 and 19 patients the sensory defect was located in the territory innervated by the mental and lingual nerve, respectively. Pain was reported in 57% of the cases, and particularly among the older patients. Regarding patient disability, quality of life was not affected in three cases, while mild alterations were recorded in 25 subjects and severe alterations in 8. Partial or complete recovery was observed in 25 cases after 6 months, and in 32 after one year. There were few recoveries after this period of time. Recovery proved faster in the youngest patients, who moreover were the individuals with the least pain. Conclusion. Our patients with trigeminal neuropathy recovered particularly in the first 6 months and up to one year after injury. The older patients more often suffered pain associated to the sensory defect. On the other hand, their discomfort was more intense, and the patients with most pain and the poorest clinical scores also showed a comparatively poorer course. Key words:Post-traumatic trigeminal neuropathy.

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Section: Discussionmentioning

confidence: 99%

Post-traumatic trigeminal neuropathy. A study of 63 cases

Peñarrocha¹,

Peñarrocha²,

Bagán³

et al. 2012

Med Oral

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“…However, most implant-related IAN injuries are likely caused by the initial drilling process involving the pilot twist drills. In this case, the injury to the nerve is often ragged and quite severe [ 11 ] and may be too extensive for a direct anastomosis and therefore may require an interpositional graft, with a subsequently lower success rate. 5.…”

Section: Surgical Procedures Of the Ianmentioning

confidence: 97%

“…Iatrogenic injuries caused by a scalpel or other sharp instrument are often quite clean in nature, whereas those caused by a dental drill are often quite ragged [ 11 ] . Where the injury is more profound, and the time from injury to surgical intervention is increased, there is a higher possibility that neuroma formation has taken place.…”

Section: Surgical Procedures Of the Ianmentioning

confidence: 99%

Surgical Management of Inferior Alveolar Nerve Injuries

Pogrel¹

2013

Trigeminal Nerve Injuries

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“…Many studies highlight the closeness between the lingual nerve and third molar surgery site. [6][7][8][9][10] Some studies 11 suggest that the prevention of LNI, particularly in case of permanent damage, is essential to avoid the harmful action of rotary instruments on the lingual soft tissues that may occur during odontotomy or osteotomy. A relevant controversial topic linked to the LNI is the application of surgical techniques of elevation and lingual flap protection (LF+) to prevent LNI.…”

Section: Introductionmentioning

confidence: 99%

Lingual Flap Protection during Third Molar Surgery: A Literature Review

Petroni

Passaretti²,

Zaccheo

et al. 2021

Eur J Dent

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The purpose of this review was to analyze how the retraction and protection of lingual flap (LF+) could influence the incidence of lingual nerve injury (LNI) during third molar extraction, as compared with protocols that do not involve handling of lingual tissue (LF). A literature review was performed from the “Medline” and “Scopus” medical databases, using the keywords “lingual nerve” and “third molar surgery.” From the selected articles, the mean values for transitory and permanent LNI’s incidence were elaborated, taking into account the group treated with LF+ technique and the group treated with LF technique. Of 480 articles, 11 studies were included in the review. The LF+ group counted 3,866 surgeries and it resulted in a transitory LNI’s mean incidence of 2.98 ± 0.03% and a mean incidence of 0.1 ± 0.003% for permanent LNI. The LF group counted 5,938 surgeries with, respectively, 1.92 ± 0.02 and 0.49 ± 0.006% of transitory and permanent LNI’s incidence mean values. The results of this study suggest that the application of LF+ techniques reduces the risk of damage and injuries of lingual nerve.

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Etiology of Lingual Nerve Injuries in the Third Molar Region: A Cadaver and Histologic Study

Cited by 24 publications

References 9 publications

Post-traumatic trigeminal neuropathy. A study of 63 cases

Post-traumatic trigeminal neuropathy. A study of 63 cases

Surgical Management of Inferior Alveolar Nerve Injuries

Lingual Flap Protection during Third Molar Surgery: A Literature Review

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