Evaluation of the Treatment Modalities for Neurosensory Disturbances of the Inferior Alveolar Nerve Following Retromolar Bone Harvesting for Bone Augmentation

Nogami, Shinnosuke; Yamauchi, Kensuke; Shiiba, Shunji; Kataoka, Yuki; Hirayama, Bunichi; Takahashi, Tsuneo

doi:10.1111/pme.12618

Cited by 19 publications

(21 citation statements)

References 35 publications

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“…This differs from Nogami and colleagues. who reported neurophysiological disturbances in 25% after different augmentation procedures such as bone block grafting, guided bone regeneration, or autogenous bone grafting combined with titanium mesh reconstruction …”

Section: Discussionmentioning

confidence: 99%

“…who reported neurophysiological disturbances in 25% after different augmentation procedures such as bone block grafting, guided bone regeneration, or autogenous bone grafting combined with titanium mesh reconstruction. 32 Therefore, a greater focus should be on investigating other causes To avoid sensory disturbances, different risk factors were tried to be excluded. Hence in CBR, when bone harvesting was necessary to compensate the 3-dimensional deficit, we chose the ramus donor site which is well-known for fewer complications and morbidity than the symphysis.…”

Section: Discussionmentioning

confidence: 99%

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Neurophysiological changes associated with implant‐associated augmentation procedures in the lower jaw

Hartmann¹,

Welte-Jzyk

Seiler³

et al. 2017

Clin Implant Dent Rel Res

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Neurophysiological changes associated with implant‐associated augmentation procedures in the lower jaw

Hartmann¹,

Welte-Jzyk

Seiler³

et al. 2017

Clin Implant Dent Rel Res

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show abstract

“…Previous studies investigating the effects of SGB on TNP had small sample sizes, short study periods, and included only a few surgery types 12,14 . Relative to such prior studies, the strengths of the current study are its larger sample size, longer study period, and use of additional surgery types.…”

Section: Discussionmentioning

confidence: 99%

Effects of stellate ganglion block on postoperative trigeminal neuropathy after dental surgery: a propensity score matching analysis

Sago

Takahashi

Ogawa

et al. 2020

Sci Rep

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This study aimed to evaluate the effects of stellate ganglion block (SGB) on postoperative trigeminal neuropathy (TNP) after dental surgery. This was a retrospective study based on the medical records of all patients with postoperative TNP at Kyushu Dental University Hospital from 2014 to 2019. Patients were divided into the SGB group (received SGB) and non-SGB group (did not receive SGB). We evaluated the severity of TNP at 3 months after surgery and the incidence rate of abnormal sensations. Abnormal sensations were counted using patients' reports of uncomfortable symptoms during the treatment, including dysaesthesia, allodynia, and hyperalgesia. A propensity score (PS) matching analysis was performed to evaluate these data. After PS matching, amongst others, the force equivalent values of the Semmes-Weinstein test at 3-months post-treatment were significantly lower in the SGB group than in the non-SGB group (2.00 ± 0.44 vs 2.30 ± 0.48; p < 0.05). In addition, after PS matching, the incidence rate of abnormal sensations during the treatment was significantly lower in the SGB group than in the non-SGB group (10 cases [4.7%] vs 22 cases [10.3%]; p < 0.05). Collectively, the findings support that SGB may improve the recovery from postoperative TNP and reduce the incidence rate of abnormal sensations after dental surgery.

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“…In a recent report, SGB was used for IAN paresthesia after retromolar bone harvesting for alveolar ridge augmentation before dental implant insertion. That study found that SGB accelerated recovery from postoperative neurosensory disturbances [ 13 ]. Although our study included only 4 patients treated with SGB, neurosensory symptoms ameliorated in those patients in whom SGB was initiated from 1 to 2 weeks after extraction, whereas both hypoesthesia and dysesthesia persisted in patients in whom SGB was initiated over 6 months postoperatively.…”

Section: Discussionmentioning

confidence: 99%

“…In a study by Nogami et al . [ 13 ], VB12 was administered in patients with neurosensory disturbances 1 week postoperatively, with a maximum medication period of 6 months; if there was no amelioration of symptoms, SGB was performed. Oral and maxillofacial surgeons should at least provide information about SGB if symptoms persist 2 weeks after extraction, especially in patients with dysesthesia.…”

Section: Discussionmentioning

confidence: 99%

Temporal Evaluation of Neurosensory Complications After Mandibular Third Molar Extraction: Current Problems for Diagnosis and Treatment

Akashi¹,

Hiraoka²,

Hasegawa³

et al. 2016

TODENTJ

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Objective:This retrospective study aimed to report the incidence of neurosensory complications after third molar extraction and also to identify current problems and discuss appropriate management of these complications.Method:Patients who underwent extraction of deeply impacted mandibular third molars under general anesthesia were included. The following epidemiological data were retrospectively gathered from medical charts: type of neurosensory complication, treatment for complication, and outcome.Results:A total 369 mandibular third molars were extracted in 210 patients under general anesthesia during this study period. Thirty-one of the 369 teeth (8.4%) in 31 patients had neurosensory complications during the first postoperative week resulting from inferior alveolar nerve damage. Neurosensory complications lasting from 1 to 3 months postoperatively included 17 cases of hypoesthesia and 8 of dysesthesia in 19 patients. Five cases of hypoesthesia and 4 of dysesthesia in 5 patients persisted over 1 year postoperatively. Sixteen of 369 teeth (4.3%) in 16 patients had persistent neurosensory complications after third molar extraction under general anesthesia. Stellate ganglion block was performed in 4 patients. Early initiation of stellate ganglion block (within 2 weeks postoperatively) produced better outcomes than late stellate ganglion block (over 6 months postoperatively).Conclusion:Refractory neurosensory complications after third molar extraction often combine both hypoesthesia and dysesthesia. Current problems in diagnosis and treatment included delayed detection of dysesthesia and the lack of uniform timing of stellate ganglion block. In the future, routinely inquiring about dysesthesia and promptly providing affected patients with information about stellate ganglion block might produce better outcomes.

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Evaluation of the Treatment Modalities for Neurosensory Disturbances of the Inferior Alveolar Nerve Following Retromolar Bone Harvesting for Bone Augmentation

Abstract: Our results justify SGB as a reasonable treatment modality for NSDs occurring after the harvesting of retromolar bone grafts.

Cited by 19 publications

References 35 publications

Neurophysiological changes associated with implant‐associated augmentation procedures in the lower jaw

Neurophysiological changes associated with implant‐associated augmentation procedures in the lower jaw

Effects of stellate ganglion block on postoperative trigeminal neuropathy after dental surgery: a propensity score matching analysis

Temporal Evaluation of Neurosensory Complications After Mandibular Third Molar Extraction: Current Problems for Diagnosis and Treatment

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