The importance of a good evaluation in order to prevent oral nerve injuries: A review

Céspedes-Sánchez, Juan Manuel; Ayuso‐Montero, Raúl; Roig, Antonio Marí; Arranz-Obispo, Carlos; López‐López, José

doi:10.3109/00016357.2013.812746

Cited by 28 publications

(20 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This may account for the nerve damage in oral pathology cases, which is the 2nd highest cause together with extractions. Third molar removal, the most important cause of nerve disturbance in the extraction group, is the most common surgical procedure in the oral cavity, and it has been implicated in more than 50 % of nerve damage especially injury to the lingual nerve [16][17][18][19][20]. Other causes of nerve damage are implant placement and endodontic treatment.…”

Section: Discussionmentioning

confidence: 99%

Neuropathy of Trigeminal Nerve Branches After Oral and Maxillofacial Treatment

Agbaje

Casteele

Hiel

et al. 2015

J. Maxillofac. Oral Surg.

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Neuropathy of Trigeminal Nerve Branches After Oral and Maxillofacial Treatment

Agbaje

Casteele

Hiel

et al. 2015

J. Maxillofac. Oral Surg.

View full text Add to dashboard Cite

show abstract

“…1,2 Inferior alveolar nerve injuries are seen in 0.2 to 4% of surgically removed third molars with incidence dependent on multiple factors like age, sex, concomitant use of socket medications, experience and level of the surgeon, technique and instruments used for removal of the tooth. 3,4 Preoperatively assessing the surgical difficulty with an Orthopantomogram (OPG), allow the surgeon to observe the morphology of the tooth, number of roots, angulation of tooth, its depth in the bone and the anterior ramus, which are factors affecting treatment plan. Several signs indicating the close relationship of third molar roots to the IAC has been proposed by Rood and Shebab and later by Poyton.…”

Section: Introductionmentioning

confidence: 99%

Proximity of mandibular third molar roots with inferior alveolar canal: a radiographic study

Singh

Khanal²,

Dhungel³

2020

JCMC

View full text Add to dashboard Cite

Background: Mandibular third molar's roots have close proximity to the inferior alveolar canal (IAC) and nerve. Inferior alveolar nerve injuries have been observed to occur more frequently when there is radiographic evidence of close contact of third molar roots to the IAC. Orthopantomogram is one of the commonly used diagnostic tools for evaluating the relationship between these two structures. There is lack of data regarding prevalence of these radiographic signs in Nepalese population. It was required to assess the reliability on the radiographic signs of relationship between the IAC and the third molar roots, to establish IAC as risk indicators for IAC exposure during extraction.Methods: A single centre cross-sectional descriptive study was designed where demographic data and radiographic signs of third molar roots proximity to IAC were obtained from imaging software records and descriptive analysis was performed with SPSS version 20.Results: One or more radiographic signs were observed in 49.6% of mandibular third molars. Interruption of white line followed by narrowing of canal and darkening of roots was observed in decreasing order of frequency and no statistically significant association between sex, age and side of impacted third molar with presence of radiographic signs.Conclusions: Presence of one or more radiographic signs of proximity of mandibular third molar roots with IAC in nearly half of the cases. Clinicians should be aware of risk of nerve injury on presence of these signs. Further investigation with cone beam computed tomography to rule out any nerve injury risk should be adopted into practice.

show abstract

“…Several CBCT radiographic signs have been reported to associated with higher risk to the IAN and assist the clinician in case selection for coronectomy (55).…”

Section: Introductionmentioning

confidence: 99%