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Subjective and qualitative assessment of neural disturbance after inferior alveolar nerve transposition for dental implant placement

Identifieur interne : 000C79 ( Pmc/Curation ); précédent : 000C78; suivant : 000C80

Subjective and qualitative assessment of neural disturbance after inferior alveolar nerve transposition for dental implant placement

Auteurs : Fumihiro Nishimaki ; Hiroshi Kurita ; Shinya Tozawa ; Yuji Teramoto ; Rishiho Nishizawa ; Shin-Ichi Yamada

Source :

RBID : PMC:5005664

Abstract

Background

The purpose of this retrospective study was to accumulate data regarding the quality of postoperative neurosensory function after inferior alveolar nerve (IAN) transposition for dental implant placement.

Methods

The study included seven consecutive patients who underwent IAN transposition surgery for the insertion of a dental implant into the atrophic posterior mandible. Of these, six patients (seven sides) were available for long-term assessment of postoperative IAN function. Neurosensory disturbance of the IAN was assessed objectively using the modified SW perception test reported by Semmes and Weinstein. In addition, the quality of nerve paralysis was assessed according to the criteria reported by Highet.

Results

The median follow-up time was 49 months (range 12–105 months). No implant loss was observed during the follow-up. All patients experienced numbness immediately and the days after surgery. Complete recovery of neural function was observed on two sides; weak hypoesthesia was observed on two sides, moderate hypoesthesia on two sides, and severe hypoesthesia on one side. However, only one patient expressed concern about IAN function.

Conclusions

IAN transposition is a useful method for placing implants in the atrophic posterior mandible. However, the procedure is complicated, with the possibility of some degree of neurosensory disturbance, although in most of our cases, it resolved within a clinically acceptable period.


Url:
DOI: 10.1186/s40729-016-0047-1
PubMed: 27747706
PubMed Central: 5005664

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Fumihiro Nishimaki
<affiliation>
<nlm:aff id="Aff1">Department of Dentistry and Oral Surgery, Shinshu University School of Medicine, 3-3-1, Asahi, Matsumoto-shi, Nagano 390-0804 Japan</nlm:aff>
<wicri:noCountry code="subfield">Nagano 390-0804 Japan</wicri:noCountry>
</affiliation>
Hiroshi Kurita
<affiliation>
<nlm:aff id="Aff1">Department of Dentistry and Oral Surgery, Shinshu University School of Medicine, 3-3-1, Asahi, Matsumoto-shi, Nagano 390-0804 Japan</nlm:aff>
<wicri:noCountry code="subfield">Nagano 390-0804 Japan</wicri:noCountry>
</affiliation>
Shinya Tozawa
<affiliation>
<nlm:aff id="Aff1">Department of Dentistry and Oral Surgery, Shinshu University School of Medicine, 3-3-1, Asahi, Matsumoto-shi, Nagano 390-0804 Japan</nlm:aff>
<wicri:noCountry code="subfield">Nagano 390-0804 Japan</wicri:noCountry>
</affiliation>
Yuji Teramoto
<affiliation>
<nlm:aff id="Aff1">Department of Dentistry and Oral Surgery, Shinshu University School of Medicine, 3-3-1, Asahi, Matsumoto-shi, Nagano 390-0804 Japan</nlm:aff>
<wicri:noCountry code="subfield">Nagano 390-0804 Japan</wicri:noCountry>
</affiliation>
Rishiho Nishizawa
<affiliation>
<nlm:aff id="Aff1">Department of Dentistry and Oral Surgery, Shinshu University School of Medicine, 3-3-1, Asahi, Matsumoto-shi, Nagano 390-0804 Japan</nlm:aff>
<wicri:noCountry code="subfield">Nagano 390-0804 Japan</wicri:noCountry>
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Shin-Ichi Yamada
<affiliation>
<nlm:aff id="Aff1">Department of Dentistry and Oral Surgery, Shinshu University School of Medicine, 3-3-1, Asahi, Matsumoto-shi, Nagano 390-0804 Japan</nlm:aff>
<wicri:noCountry code="subfield">Nagano 390-0804 Japan</wicri:noCountry>
</affiliation>

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<p>The purpose of this retrospective study was to accumulate data regarding the quality of postoperative neurosensory function after inferior alveolar nerve (IAN) transposition for dental implant placement.</p>
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<sec>
<title>Methods</title>
<p>The study included seven consecutive patients who underwent IAN transposition surgery for the insertion of a dental implant into the atrophic posterior mandible. Of these, six patients (seven sides) were available for long-term assessment of postoperative IAN function. Neurosensory disturbance of the IAN was assessed objectively using the modified SW perception test reported by Semmes and Weinstein. In addition, the quality of nerve paralysis was assessed according to the criteria reported by Highet.</p>
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<title>Results</title>
<p>The median follow-up time was 49 months (range 12–105 months). No implant loss was observed during the follow-up. All patients experienced numbness immediately and the days after surgery. Complete recovery of neural function was observed on two sides; weak hypoesthesia was observed on two sides, moderate hypoesthesia on two sides, and severe hypoesthesia on one side. However, only one patient expressed concern about IAN function.</p>
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<p>IAN transposition is a useful method for placing implants in the atrophic posterior mandible. However, the procedure is complicated, with the possibility of some degree of neurosensory disturbance, although in most of our cases, it resolved within a clinically acceptable period.</p>
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<journal-meta>
<journal-id journal-id-type="nlm-ta">Int J Implant Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">Int J Implant Dent</journal-id>
<journal-title-group>
<journal-title>International Journal of Implant Dentistry</journal-title>
</journal-title-group>
<issn pub-type="epub">2198-4034</issn>
<publisher>
<publisher-name>Springer Berlin Heidelberg</publisher-name>
<publisher-loc>Berlin/Heidelberg</publisher-loc>
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<article-id pub-id-type="pmid">27747706</article-id>
<article-id pub-id-type="pmc">5005664</article-id>
<article-id pub-id-type="publisher-id">47</article-id>
<article-id pub-id-type="doi">10.1186/s40729-016-0047-1</article-id>
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<subject>Research</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Subjective and qualitative assessment of neural disturbance after inferior alveolar nerve transposition for dental implant placement</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Nishimaki</surname>
<given-names>Fumihiro</given-names>
</name>
<address>
<phone>0263-37-2677</phone>
<fax>0263-37-2676</fax>
<email>nishimaki@shinshu-u.ac.jp</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kurita</surname>
<given-names>Hiroshi</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tozawa</surname>
<given-names>Shinya</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Teramoto</surname>
<given-names>Yuji</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Nishizawa</surname>
<given-names>Rishiho</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yamada</surname>
<given-names>Shin-ichi</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<aff id="Aff1">Department of Dentistry and Oral Surgery, Shinshu University School of Medicine, 3-3-1, Asahi, Matsumoto-shi, Nagano 390-0804 Japan</aff>
</contrib-group>
<pub-date pub-type="epub">
<day>14</day>
<month>5</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>14</day>
<month>5</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="collection">
<month>12</month>
<year>2016</year>
</pub-date>
<volume>2</volume>
<issue>1</issue>
<elocation-id>14</elocation-id>
<history>
<date date-type="received">
<day>25</day>
<month>7</month>
<year>2015</year>
</date>
<date date-type="accepted">
<day>26</day>
<month>4</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>© Nishimaki et al. 2016</copyright-statement>
<license license-type="OpenAccess">
<license-p>
<bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.</license-p>
</license>
</permissions>
<abstract id="Abs1">
<sec>
<title>Background</title>
<p>The purpose of this retrospective study was to accumulate data regarding the quality of postoperative neurosensory function after inferior alveolar nerve (IAN) transposition for dental implant placement.</p>
</sec>
<sec>
<title>Methods</title>
<p>The study included seven consecutive patients who underwent IAN transposition surgery for the insertion of a dental implant into the atrophic posterior mandible. Of these, six patients (seven sides) were available for long-term assessment of postoperative IAN function. Neurosensory disturbance of the IAN was assessed objectively using the modified SW perception test reported by Semmes and Weinstein. In addition, the quality of nerve paralysis was assessed according to the criteria reported by Highet.</p>
</sec>
<sec>
<title>Results</title>
<p>The median follow-up time was 49 months (range 12–105 months). No implant loss was observed during the follow-up. All patients experienced numbness immediately and the days after surgery. Complete recovery of neural function was observed on two sides; weak hypoesthesia was observed on two sides, moderate hypoesthesia on two sides, and severe hypoesthesia on one side. However, only one patient expressed concern about IAN function.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>IAN transposition is a useful method for placing implants in the atrophic posterior mandible. However, the procedure is complicated, with the possibility of some degree of neurosensory disturbance, although in most of our cases, it resolved within a clinically acceptable period.</p>
</sec>
</abstract>
<kwd-group xml:lang="en">
<title>Keywords</title>
<kwd>Dental implants</kwd>
<kwd>Inferior alveolar nerve</kwd>
<kwd>Nerve transposition</kwd>
<kwd>Neurosensory disturbance</kwd>
</kwd-group>
<custom-meta-group>
<custom-meta>
<meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2016</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>

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