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

Abstract

Augmentation procedures did not increase sensory disturbances, indicating no changes in the neurophysiological pathways. Extended augmentation procedures did not lead to sensory changes either or result in an impaired quality of life or modified anxiety and depression scores.

Minimizing risk of customized titanium mesh exposures – a retrospective analysis

“…This study shows that treatment with customized titanium meshes offers the opportunity to provide highquality work in large three-dimensional bony defects. The benefits like precise fit, shorter time of surgery, predictable outcome and good acceptance of the surgical procedure were already described in recent literature [27,28]. Although exposures are a common complication associated with titanium mesh technique, grafting outcome was not affected.…”

Somatosensory changes in Chinese patients after coronectomy vs. total extraction of mandibular third molar: a prospective study

“…The age group, gender, and site-stratified data were the sign of the resulting Z-score and adjusted in such a way that those > 0 indicated a gain of function when the participant was more sensitive to the stimuli than were controls (hyperesthesia, hyperalgesia, and allodynia). Z-scores < 0 indicated a loss of function, referring to a lower sensitivity (hypoesthesia and hypoalgesia) [23,29,36]. Z-scores > 1.96 and <− 1.96 indicated values outside of the 95% CI of the reference group data.…”

“…The loss/gain coding system was applied [23,29,36]. The loss/gain score combines a score of somatosensory loss of function (L0, L1, L2, or L3) with a score of somatosensory gain of function (G0, G1, G2, or G3) [23,29,36]. The number after the letter L or G indicates whether the abnormality is related to the thermal modalities alone (1), the mechanical modalities alone (2), or mixed (3) thermal and mechanical.…”

“…The number after the letter L or G indicates whether the abnormality is related to the thermal modalities alone (1), the mechanical modalities alone (2), or mixed (3) thermal and mechanical. If measures of thermal and/or mechanical detection (CDT, WDT, TSL, MDT, or VDT) were abnormal on the affected side in comparison with the reference data (absolute abnormality), or if abnormally large preoperative and postoperative differences were detected (relative abnormality), they were recorded as one of the following: L1, isolated loss of small fiber function (if abnormal thermal detection thresholds [CDT, TSL, or WDT] alone); L2, isolated loss of large fiber function (if abnormal mechanical detection thresholds [MDT or VDT] alone); or L3, mixed loss of function (if loss of both small and large fiber function) [23,29,36]. Likewise, for somatosensory gain, thermal hyperalgesia (G1) was recorded if gain of function in cold or heat pain thresholds (CPT or HPT) were found (absolute or relative abnormality).…”

“…Compared with CNTs, QST has better reproducibility and sensitivity in diagnosing and grading nerve injuries [15]. It has been widely applied in the orofacial region [19][20][21][22][23], and somatosensory sensitivity changes related to IANI can also be quantitatively measured.…”