Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제39권3호
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  • Pages.127-133
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  • 2013
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
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Clinical outcome of conservative treatment of injured inferior alveolar nerve during dental implant placement

  • Kim, Yoon-Tae (Department of Oral and Maxillofacial Surgery, School of Dentistry and Dental Research Institute, Seoul National University) ;
  • Pang, Kang-Mi (Division of Oral and Maxillofacial Surgery, Department of Dentistry, Oral and Maxillofacial Surgery, Ajou University School of Medicine) ;
  • Jung, Hun-Jong (Department of Occupation and Environment, Konkuk Univiersity School of Medicine) ;
  • Kim, Soung-Min (Department of Oral and Maxillofacial Surgery, School of Dentistry and Dental Research Institute, Seoul National University) ;
  • Kim, Myung-Jin (Department of Oral and Maxillofacial Surgery, School of Dentistry and Dental Research Institute, Seoul National University) ;
  • Lee, Jong-Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry and Dental Research Institute, Seoul National University)
  • 투고 : 2013.04.15
  • 심사 : 2013.05.07
  • 발행 : 2013.06.30
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초록

Objectives: Infererior alveolar nerve (IAN) damage may be one of the distressing complications occurring during implant placement. Because of nature of closed injury, a large proportion is approached non-invasively. The purpose of this study was to analyze the outcomes of conservative management of the injured nerve during dental implant procedure. Materials and Methods: Sixty-four patients of implant related IAN injury, who were managed by medication or observation from January 1997 to March 2007 at the Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital, were retrospectively investigated. The objective tests and subjective evaluations were performed to evaluate the degree of damage and duration of sensory disturbance recovery. Tests were performed on the day of the first visit and every two months afterward. Patient's initial symptoms, proximity of the implant to the IAN, time interval between implant surgery and the first visit to our clinic, and treatment after implant surgery were analyzed to determine whether these factors affected the final outcomes. Results: Among the 64 patients, 23 had a chief complaint of sensory disturbance and others with dysesthesia. The mean time until first visit to our hospital after the injury was 10.9 months.One year after nerve injury, the sensation was improved in 9 patients, whereas not improved in 38 patients, even 4 patients experienced deterioration. Better prognosis was observed in the group of patients with early visits and with implants placed or managed not too close to the IAN. Conclusion: Nearly 70% of patients with IAN injury during implant placement showed no improvement in sensation or dysesthesia with the conservative management. Earlier decision for active treatment needs to be considered because of possibility of deterioration of symptoms and unsatisfactory recovery.

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참고문헌

  1. Kiyak HA, Beach BH, Worthington P, Taylor T, Bolender C, Evans J. Psychological impact of osseointegrated dental implants. Int J Oral Maxillofac Implants 1990;5:61-9.
  2. Bartling R, Freeman K, Kraut RA. The incidence of altered sensation of the mental nerve after mandibular implant placement. J Oral Maxillofac Surg 1999;57:1408-12. https://doi.org/10.1016/S0278-2391(99)90720-6
  3. Ellies LG, Hawker PB. The prevalence of altered sensation associated with implant surgery. Int J Oral Maxillofac Implants 1993;8:674-9.
  4. Vazquez L, Saulacic N, Belser U, Bernard JP. Efficacy of panoramic radiographs in the preoperative planning of posterior mandibular implants: a prospective clinical study of 1527 consecutively treated patients. Clin Oral Implants Res 2008;19:81-5.
  5. Htut M, Misra P, Anand P, Birch R, Carlstedt T. Pain phenomena and sensory recovery following brachial plexus avulsion injury and surgical repairs. J Hand Surg Br 2006;31:596-605. https://doi.org/10.1016/j.jhsb.2006.04.027
  6. Pogrel MA. The results of microneurosurgery of the inferior alveolar and lingual nerve. J Oral Maxillofac Surg 2002;60:485-9. https://doi.org/10.1053/joms.2002.31841
  7. Frei C, Buser D, Dula K. Study on the necessity for cross-section imaging of the posterior mandible for treatment planning of standard cases in implant dentistry.Clin Oral Implants Res 2004;15:490-7. https://doi.org/10.1111/j.1600-0501.2004.01032.x
  8. Strauss ER, Ziccardi VB, Janal MN. Outcome assessment of inferior alveolar nerve microsurgery: a retrospective review. J Oral Maxillofac Surg 2006;64:1767-70. https://doi.org/10.1016/j.joms.2005.11.111
  9. Renzi G, Carboni A, Perugini M, Giovannetti F, Becelli R. Posttraumatic trigeminal nerve impairment: a prospective analysis of recovery patterns in a series of 103 consecutive facial fractures. J Oral Maxillofac Surg 2004;62:1341-6. https://doi.org/10.1016/j.joms.2004.05.212
  10. Wismeijer D, van Waas MA, Vermeeren JI, Kalk W. Patients' perception of sensory disturbances of the mental nerve before and after implant surgery: a prospective study of 110 patients. Br J Oral Maxillofac Surg 1997;35:254-9. https://doi.org/10.1016/S0266-4356(97)90043-7
  11. Hillerup S. Iatrogenic injury to oral branches of the trigeminal nerve: records of 449 cases. Clin Oral Investig 2007;11:133-42. https://doi.org/10.1007/s00784-006-0089-5
  12. Seo K, Tanaka Y, Terumitsu M, Someya G. Characterization of different paresthesias following orthognathic surgery of the mandible. J Oral Maxillofac Surg 2005;63:298-303. https://doi.org/10.1016/j.joms.2004.07.015
  13. Gilron I, Watson CP, Cahill CM, Moulin DE. Neuropathic pain: a practical guide for the clinician. CMAJ 2006;175:265-75. https://doi.org/10.1503/cmaj.060146
  14. Khawaja N, Renton T. Case studies on implant removal influencing the resolution of inferior alveolar nerve injury. Br Dent J 2009;206:365-70. https://doi.org/10.1038/sj.bdj.2009.258

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  4. A Proposal of New Classification for Dental Implant Complications vol.19, pp.8, 2013, https://doi.org/10.5005/jp-journals-10024-2375
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  6. Effect of Photobiomodulation (Diode 810 nm) on Long-Standing Neurosensory Alterations of the Inferior Alveolar Nerve: A Case Series Study vol.39, pp.1, 2013, https://doi.org/10.1089/photob.2019.4780
  7. Acupuncture Therapies for Addressing Post Odontectomy Neuropathy vol.33, pp.5, 2013, https://doi.org/10.1089/acu.2020.1472
  8. Deep semi-supervised learning for automatic segmentation of inferior alveolar nerve using a convolutional neural network vol.21, pp.1, 2013, https://doi.org/10.1186/s12903-021-01983-5