Sensory nerve impairment following mandibular third molar surgery

Bataineh, Anwar B.

doi:10.1053/joms.2001.25827

Cited by 174 publications

(118 citation statements)

References 35 publications

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“…The incidence of permanent nerve damage of the inferior alveolar and lingual nerves was lower than reported by Baitaineh et al 34 and consistent with that reported by Sisk et al 15 Interestingly, de Boer et al 6 found that increased nerve paraesthesia occurred following third molar removal by specialists.…”

Section: Discussionsupporting

confidence: 84%

Experience in third molar surgery: an update

Jerjes¹,

Upile

Nhembe³

et al. 2010

Br Dent J

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Section: Discussionsupporting

confidence: 84%

Experience in third molar surgery: an update

Jerjes¹,

Upile

Nhembe³

et al. 2010

Br Dent J

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“…In contrast, previous studies state that third molar extraction caused the highest incidence of iatrogenic trigeminal nerve injuries, 9,22) which was the second most common cause in this study (22.5%). Local anesthetic-related injury was only 2.7% of the incidence in this study.…”

Section: Discussioncontrasting

confidence: 98%

Clinical Predictors of Permanent Neuropathy in Patients with Peripheral Painful Traumatic Trigeminal Neuropathy

Ryu¹,

Ahn²,

Yoon³

2016

Journal of Oral Medicine and Pain

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Purpose:The aims of this study were to evaluate the clinical characteristics of patients with altered sensation and/or pain, and to determine outcome predictors affecting persistent neuropathy. Methods:Patients who complained an altered sensation or pain following trigeminal nerve trauma were involved in this study. To determine outcome predictors affecting persistent neuropathy, the patients were divided into two groups; transient vs. persistent, and the clinical phenotypes are compared between groups. Data were analyzed with t-tests, chi-square, and multiple regression analyses with 95% confidence interval and p<0.05 significance level.Results: A total of 111 patients were included: 23 with transient and 88 persistent groups. The panoramic result and pin-prick test score were statistically different between the groups. Radiating symptoms after blunt and pinprick stimuli were also significantly different between groups. The results revealed that the presence of a neurologic lesion in the panoramic view result, reduced sensation in the pinprick test, and radiation in the pinprick test could affect the persistent group. Conclusions:The presence of a neurologic lesion in panoramic view result and reduced sensation and radiating symptoms in the pin prick test would be defining features of one of the main clinical features of persistent neuropathy. These features could serve as outcome predictors diagnosing the permanent nerve injury in trigeminal nerve.

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“…A 0.6 % to 2.0 % incidence of lingual nerve damage has been reported following third molar extraction. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Lingual nerve damage can result in anaesthesia, par aesthesia, dysaesthesia or hypoaesthesia. Furthermore, depending on the type and severity of nerve disturbance, this dam age can cause drooling, tongue biting, a burning sensation of the tongue, pain and a change in speech pattern.…”

Section: Discussionmentioning

confidence: 99%

“…1,4,[6][7][8][9]19,23 Some attempts to determine the anatomic relationships of the lingual nerve consisted of cadaveric dissections and clinical observations in the third molar region. 2,6,7,11,22 Moreover, the radiographs would have provided useful information for the localisation of the nerve in this area.…”

Section: Discussionmentioning

confidence: 99%

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The relationship of the lingual nerve to the third molar region using radiographic imaging

2007

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PRACTICE I N B R I E F• Lingual nerve damage is a common complication during oral and maxillofacial surgery procedures in the third molar region.• The anatomy of the lingual nerve is variable; therefore precise anatomical knowledge of this nerve is important for decreasing the damage risk.• The data presented in this paper should be a useful reference for surgical procedures undertaken by maxillofacial surgeons.The relationship of the lingual nerve to the third molar region using radiographic imaging P. Karakas, 1 M. Üzel 2 and J. Koebke 3Objective Lingual nerve damage is a common complication during oral and maxillofacial surgery procedures to the third molar region. The anatomy of the lingual nerve is variable, therefore the precise knowledge of anatomy of this nerve is important for decreasing the damage risk. The purpose of this study was to determine the position and the shape of the lingual nerve in the third molar region using radiographic imaging. Setting The Anatomy Department of Cologne Uni versity in Germany. Materials and Methods Firstly, an anatomic dissection of the lingual nerve in the third molar region was done on 10 whole heads and one sagittal hemisection head specimen of adult cadavers. After marking the nerve, x-ray films were taken. Vertical and horizontal measurements were made from the radiographs with an electronic digital caliper. Results The mean vertical and horizontal distances of the nerve to the lingual crista and lingual plate of the mandible were found to be 9.5 ± 5.2 mm and 4.1 ± 1.9 mm respectively. Additionally, of the 21 lingual nerves examined, 17 (81%) were round and 4 (19%) were fl at. Conclusions The results reflect the relationship of the nerve to this area and may help the clinician to avoid the damage risk.

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Sensory nerve impairment following mandibular third molar surgery

Cited by 174 publications

References 35 publications

Experience in third molar surgery: an update

Experience in third molar surgery: an update

Clinical Predictors of Permanent Neuropathy in Patients with Peripheral Painful Traumatic Trigeminal Neuropathy

The relationship of the lingual nerve to the third molar region using radiographic imaging

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