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Inferior alveolar nerve injury associated with implant surgery

Identifieur interne : 000791 ( Istex/Corpus ); précédent : 000790; suivant : 000792

Inferior alveolar nerve injury associated with implant surgery

Auteurs : Gintaras Juodzbalys ; Hom-Lay Wang ; Gintautas Sabalys ; Antanas Sidlauskas ; Pablo Galindo-Moreno

Source :

RBID : ISTEX:CF90897E05EB3F3B5416DCC155C3E4A5A0BDCC65

English descriptors

Abstract

Inferior alveolar nerve (IAN) is the most commonly injured nerve (64.4%) during implant treatment. At present, no standardized protocol exists for clinicians to manage IAN injury related with implant surgery. Therefore, the purposes of the present article were to analyze the reasons for nerve injury and to propose guidelines in managing IAN injury.

Url:
DOI: 10.1111/j.1600-0501.2011.02314.x

Links to Exploration step

ISTEX:CF90897E05EB3F3B5416DCC155C3E4A5A0BDCC65

Le document en format XML

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<term>Alveolar nerve</term>
<term>Anesthesia</term>
<term>Anterior mandible</term>
<term>Asymmetry index</term>
<term>Background information</term>
<term>Basa dilek</term>
<term>Bone debris</term>
<term>Bone preparation</term>
<term>Canal</term>
<term>Carestream health</term>
<term>Case report</term>
<term>Chang mulford</term>
<term>Change implant size</term>
<term>Clin</term>
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<term>Clinician</term>
<term>Common etiological factor</term>
<term>Common etiological risk factor</term>
<term>Cone beam</term>
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<term>Crean powis</term>
<term>Dentaire canadienne</term>
<term>Dental association</term>
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<term>Dental implant placement</term>
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<term>Etiological factor</term>
<term>Etiological factors</term>
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<term>Haas lennon</term>
<term>Health sciences</term>
<term>Healthy volunteers</term>
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<term>Hematoma</term>
<term>Hyperalgesia</term>
<term>Hypoalgesia</term>
<term>Ianidis protocol</term>
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<term>Injury severity</term>
<term>Injury severity degree</term>
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<term>International journal</term>
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<term>John wiley sons</term>
<term>John wiley sons juodzbalys</term>
<term>Juodzbalys</term>
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<term>Laceration compression</term>
<term>Lamas pelayo</term>
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<term>Literature review</term>
<term>Lithuanian university</term>
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<term>Nerve injury severity</term>
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<term>Oral implantology</term>
<term>Oral maxillofacial implants</term>
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<term>Penarrocha diago</term>
<term>Pogrel</term>
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<term>Present article</term>
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<term>Prospective study</term>
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<term>Asymmetry index</term>
<term>Background information</term>
<term>Basa dilek</term>
<term>Bone debris</term>
<term>Bone preparation</term>
<term>Canal</term>
<term>Carestream health</term>
<term>Case report</term>
<term>Chang mulford</term>
<term>Change implant size</term>
<term>Clin</term>
<term>Clinical symptoms</term>
<term>Clinician</term>
<term>Common etiological factor</term>
<term>Common etiological risk factor</term>
<term>Cone beam</term>
<term>Consent form</term>
<term>Control group</term>
<term>Crean powis</term>
<term>Dentaire canadienne</term>
<term>Dental association</term>
<term>Dental implant</term>
<term>Dental implant placement</term>
<term>Dental implant surgery</term>
<term>Dental segment</term>
<term>Dental segment region</term>
<term>Dentistry</term>
<term>Dentistry today</term>
<term>Drill slippage</term>
<term>Electrical stimuli</term>
<term>Etiological</term>
<term>Etiological factor</term>
<term>Etiological factors</term>
<term>Full intrusion</term>
<term>General risk factors</term>
<term>Haas lennon</term>
<term>Health sciences</term>
<term>Healthy volunteers</term>
<term>Hegedus diecidue</term>
<term>Hematoma</term>
<term>Hyperalgesia</term>
<term>Hypoalgesia</term>
<term>Ianidis protocol</term>
<term>Impl</term>
<term>Implant</term>
<term>Implant dentistry</term>
<term>Implant drill</term>
<term>Implant drill implant</term>
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<term>Implant placement</term>
<term>Implant size</term>
<term>Implant surgery</term>
<term>Implant treatment</term>
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<term>Inferior alveolar nerve blocks</term>
<term>Inferior alveolar nerve injury</term>
<term>Inferior alveolar nerve injury management</term>
<term>Inferior alveolar nerve injury management table</term>
<term>Injection needle</term>
<term>Injury</term>
<term>Injury severity</term>
<term>Injury severity degree</term>
<term>Injury treatment</term>
<term>Intact side</term>
<term>International journal</term>
<term>Intraoperative</term>
<term>Intraoperative risk factors</term>
<term>Intrusion</term>
<term>Ischemia</term>
<term>John wiley sons</term>
<term>John wiley sons juodzbalys</term>
<term>Juodzbalys</term>
<term>Kraut chahal</term>
<term>Laceration compression</term>
<term>Lamas pelayo</term>
<term>Large dose</term>
<term>Literature review</term>
<term>Lithuanian university</term>
<term>Local anaesthesia</term>
<term>Local anesthesia</term>
<term>Local anesthetic</term>
<term>Mandibular</term>
<term>Mandibular canal</term>
<term>Mandibular injections</term>
<term>Maxillofacial</term>
<term>Maxillofacial region</term>
<term>Maxillofacial surgery</term>
<term>Mechanical trauma</term>
<term>Medicament treatment</term>
<term>Mental foramen</term>
<term>Mental nerve</term>
<term>Mental nerve compression</term>
<term>Mental nerve injury</term>
<term>Mild degree</term>
<term>Mild nerve injury</term>
<term>Misch resnik</term>
<term>Moderate nerve injury</term>
<term>Nerve</term>
<term>Nerve damage</term>
<term>Nerve injuries</term>
<term>Nerve injury</term>
<term>Nerve injury severity</term>
<term>Neurosensory examination</term>
<term>Oral impl</term>
<term>Oral implantology</term>
<term>Oral maxillofacial implants</term>
<term>Oral medicine</term>
<term>Pain detection threshold</term>
<term>Partial intrusion</term>
<term>Patient examination</term>
<term>Penarrocha diago</term>
<term>Pogrel</term>
<term>Pogrel thamby</term>
<term>Present article</term>
<term>Primary ischemia</term>
<term>Proper distance</term>
<term>Prospective study</term>
<term>Prosthetic dentistry</term>
<term>Radiographic examination</term>
<term>Radiologic examination</term>
<term>Realistic expectations</term>
<term>Risk factor</term>
<term>Risk factors</term>
<term>Secondary ischemia</term>
<term>Sensory alteration</term>
<term>Sensory disturbances</term>
<term>Sensory function recovery monitoring</term>
<term>Serious complication</term>
<term>Severe injury</term>
<term>Severe nerve injury</term>
<term>Slippage</term>
<term>Smith lung</term>
<term>Standardized protocol</term>
<term>Successful treatment outcome</term>
<term>Surgery</term>
<term>Thamby</term>
<term>Thickness parameters</term>
<term>Timely diagnosis</term>
<term>Tomography scans</term>
<term>Transection</term>
<term>Trauma</term>
<term>Trigeminal</term>
<term>Trigeminal nerve injuries</term>
<term>Useful tool</term>
<term>Ziccardi assael</term>
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<div type="abstract">Inferior alveolar nerve (IAN) is the most commonly injured nerve (64.4%) during implant treatment. At present, no standardized protocol exists for clinicians to manage IAN injury related with implant surgery. Therefore, the purposes of the present article were to analyze the reasons for nerve injury and to propose guidelines in managing IAN injury.</div>
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Objectives
<p>Inferior alveolar nerve (
<hi rend="fc">IAN</hi>
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injury related with implant surgery. Therefore, the purposes of the present article were to analyze the reasons for nerve injury and to propose guidelines in managing
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injury.</p>
Material and methods
<p>Patients with
<hi rend="fc">IAN</hi>
sensory disturbances after implant treatment were recruited for the study. Sixteen patients, eight men and eight women, with a mean age of 52.2 ± 8.1 years participated in this study. Patient examination, treatment, and
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sensory function recovery monitoring were performed following six‐step
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injury during dental implant surgery (
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) protocol. The control group was composed of 25 healthy volunteers who never had
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sensory disturbances or any trauma in the maxillofacial region.</p>
Results
<p>The
<hi rend="fc">IAN</hi>
sensory disturbances were scored as following: 5 (31.25%) had hyperalgesia and 11 (68.75%) expressed hypoalgesia. The mean asymmetry index (
<hi rend="fc">AI</hi>
) was calculated for each patient and varied from 0.6 to 3.2. Overall, 31.3% of nerve injury patients were classified as mild, 31.3% as moderate, and remaining 37.5% as severe injury. All patients were successfully treated with proposed
<hi rend="fc">IANIDIS</hi>
protocol.</p>
Conclusion
<p>The most frequent (50%) risk factor for
<hi rend="fc">IAN</hi>
injury was intraoperative bleeding during bone preparation. The most common (56.3%) etiological risk factor of nerve injury was dental implant. A six‐step protocol aimed at managing patients with
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<title type="shortAuthors">Juodzbalys et al</title>
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<personName>
<givenNames>Gintaras</givenNames>
<familyName>Juodzbalys</familyName>
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<creator affiliationRef="#clr2314-aff-0002" creatorRole="author" xml:id="clr2314-cr-0002">
<personName>
<givenNames>Hom‐Lay</givenNames>
<familyName>Wang</familyName>
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<personName>
<givenNames>Gintautas</givenNames>
<familyName>Sabalys</familyName>
</personName>
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<creator affiliationRef="#clr2314-aff-0003" creatorRole="author" xml:id="clr2314-cr-0004">
<personName>
<givenNames>Antanas</givenNames>
<familyName>Sidlauskas</familyName>
</personName>
</creator>
<creator affiliationRef="#clr2314-aff-0004 #clr2314-aff-0005" creatorRole="author" xml:id="clr2314-cr-0005">
<personName>
<givenNames>Pablo</givenNames>
<familyName>Galindo‐Moreno</familyName>
</personName>
</creator>
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<affiliation countryCode="LT" type="organization" xml:id="clr2314-aff-0001">
<orgDiv>Department of Maxillofacial Surgery</orgDiv>
<orgName>Lithuanian University of Health Sciences</orgName>
<address>
<city>Kaunas</city>
<country>Lithuania</country>
</address>
</affiliation>
<affiliation countryCode="US" type="organization" xml:id="clr2314-aff-0002">
<orgDiv>Department of Periodontics and Oral Medicine</orgDiv>
<orgName>School of Dentistry</orgName>
<orgName>University of Michigan</orgName>
<address>
<city>Ann Arbor</city>
<countryPart>MI</countryPart>
<country>USA</country>
</address>
</affiliation>
<affiliation countryCode="LT" type="organization" xml:id="clr2314-aff-0003">
<orgDiv>Clinic of Orthodontics</orgDiv>
<orgName>Lithuanian University of Health Sciences</orgName>
<address>
<city>Kaunas</city>
<country>Lithuania</country>
</address>
</affiliation>
<affiliation countryCode="ES" type="organization" xml:id="clr2314-aff-0004">
<orgDiv>Department of Oral Surgery and Implant Dentistry</orgDiv>
<orgName>School of Dentistry</orgName>
<orgName>University of Granada</orgName>
<address>
<city>Granada</city>
<country>Spain</country>
</address>
</affiliation>
<affiliation countryCode="US" type="organization" xml:id="clr2314-aff-0005">
<orgDiv>Department of Periodontics and Oral Medicine</orgDiv>
<orgName>School of Dentistry</orgName>
<orgName>University of Michigan</orgName>
<address>
<city>Ann Arbor</city>
<countryPart>MI</countryPart>
<country>USA</country>
</address>
</affiliation>
</affiliationGroup>
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<keyword xml:id="clr2314-kwd-0001">alveolar nerve</keyword>
<keyword xml:id="clr2314-kwd-0002">cranial nerve injuries</keyword>
<keyword xml:id="clr2314-kwd-0003">dental implants</keyword>
<keyword xml:id="clr2314-kwd-0004">inferior</keyword>
<keyword xml:id="clr2314-kwd-0005">mandibular canal</keyword>
<keyword xml:id="clr2314-kwd-0006">mandibular nerve</keyword>
<keyword xml:id="clr2314-kwd-0007">paresthesia</keyword>
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<title type="main">Abstract</title>
<section xml:id="clr2314-sec-0001">
<title type="main">Objectives</title>
<p>Inferior alveolar nerve (
<fc>IAN</fc>
) is the most commonly injured nerve (64.4%) during implant treatment. At present, no standardized protocol exists for clinicians to manage
<fc>IAN</fc>
injury related with implant surgery. Therefore, the purposes of the present article were to analyze the reasons for nerve injury and to propose guidelines in managing
<fc>IAN</fc>
injury.</p>
</section>
<section xml:id="clr2314-sec-0002">
<title type="main">Material and methods</title>
<p>Patients with
<fc>IAN</fc>
sensory disturbances after implant treatment were recruited for the study. Sixteen patients, eight men and eight women, with a mean age of 52.2 ± 8.1 years participated in this study. Patient examination, treatment, and
<fc>IAN</fc>
sensory function recovery monitoring were performed following six‐step
<fc>IAN</fc>
injury during dental implant surgery (
<fc>IANIDIS</fc>
) protocol. The control group was composed of 25 healthy volunteers who never had
<fc>IAN</fc>
sensory disturbances or any trauma in the maxillofacial region.</p>
</section>
<section xml:id="clr2314-sec-0003">
<title type="main">Results</title>
<p>The
<fc>IAN</fc>
sensory disturbances were scored as following: 5 (31.25%) had hyperalgesia and 11 (68.75%) expressed hypoalgesia. The mean asymmetry index (
<fc>AI</fc>
) was calculated for each patient and varied from 0.6 to 3.2. Overall, 31.3% of nerve injury patients were classified as mild, 31.3% as moderate, and remaining 37.5% as severe injury. All patients were successfully treated with proposed
<fc>IANIDIS</fc>
protocol.</p>
</section>
<section xml:id="clr2314-sec-0004">
<title type="main">Conclusion</title>
<p>The most frequent (50%) risk factor for
<fc>IAN</fc>
injury was intraoperative bleeding during bone preparation. The most common (56.3%) etiological risk factor of nerve injury was dental implant. A six‐step protocol aimed at managing patients with
<fc>IAN</fc>
injury, during dental implant surgery, was a useful tool that could provide successful treatment outcome.</p>
</section>
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<affiliation>Department of Maxillofacial Surgery, Lithuanian University of Health Sciences, Kaunas, Lithuania</affiliation>
<affiliation>Department of Maxillofacial SurgeryLithuanian University of Health SciencesVainiku 12LT 46383, KaunasLithuaniaTel: +370 37 29 70 55Fax: +370 37 32 31 53e‐mail:</affiliation>
<affiliation>E-mail: gintaras@stilusoptimus.lt</affiliation>
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<affiliation>Clinic of Orthodontics, Lithuanian University of Health Sciences, Kaunas, Lithuania</affiliation>
<role>
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<name type="personal">
<namePart type="given">Pablo</namePart>
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<affiliation>Department of Oral Surgery and Implant Dentistry, School of Dentistry, University of Granada, Granada, Spain</affiliation>
<affiliation>Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, MI, Ann Arbor, USA</affiliation>
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<abstract>Inferior alveolar nerve (IAN) is the most commonly injured nerve (64.4%) during implant treatment. At present, no standardized protocol exists for clinicians to manage IAN injury related with implant surgery. Therefore, the purposes of the present article were to analyze the reasons for nerve injury and to propose guidelines in managing IAN injury.</abstract>
<abstract>Patients with IAN sensory disturbances after implant treatment were recruited for the study. Sixteen patients, eight men and eight women, with a mean age of 52.2 ± 8.1 years participated in this study. Patient examination, treatment, and IAN sensory function recovery monitoring were performed following six‐step IAN injury during dental implant surgery (IANIDIS) protocol. The control group was composed of 25 healthy volunteers who never had IAN sensory disturbances or any trauma in the maxillofacial region.</abstract>
<abstract>The IAN sensory disturbances were scored as following: 5 (31.25%) had hyperalgesia and 11 (68.75%) expressed hypoalgesia. The mean asymmetry index (AI) was calculated for each patient and varied from 0.6 to 3.2. Overall, 31.3% of nerve injury patients were classified as mild, 31.3% as moderate, and remaining 37.5% as severe injury. All patients were successfully treated with proposed IANIDIS protocol.</abstract>
<abstract>The most frequent (50%) risk factor for IAN injury was intraoperative bleeding during bone preparation. The most common (56.3%) etiological risk factor of nerve injury was dental implant. A six‐step protocol aimed at managing patients with IAN injury, during dental implant surgery, was a useful tool that could provide successful treatment outcome.</abstract>
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<topic>alveolar nerve</topic>
<topic>cranial nerve injuries</topic>
<topic>dental implants</topic>
<topic>inferior</topic>
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<topic>mandibular nerve</topic>
<topic>paresthesia</topic>
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