Browse > Article

Dysesthesia after Tooth Extraction and Implant Surgery Reported by Dentists  

Ryu, Ji-Won (Department of Oral Medicine, College of Dentistry, Chosun University)
Kwon, Jeong-Seung (Department of Oral Medicine, College of Dentistry, Yonsei University)
Publication Information
Journal of Oral Medicine and Pain / v.32, no.3, 2007 , pp. 263-272 More about this Journal
Abstract
The purpose of this study was to analyze the nerve damage after tooth extraction and implant surgery, and to establish a predictive model for assessment and management of dysesthesia. In this questionnaire study, the subjects chosen for this study were 276 dentists who answered the questionnaire about dysesthesia after tooth extraction and implant surgery. The analysis of the results consist of the sex and age distribution, affected site, associated symptoms, rate and duration of the recovery. The results are summarized as follows. : 1. There were no significant difference between the sex and the dysesthesia. 2. The most common affected site was the mandibular region. In the group of the implant surgery, 100% affected the mandibular site. The tooth extraction group was 93.2% affected. 3. Pain was one of the most associated symptom with dysesthesia-46.5% of the tooth extraction and 44.8% of the implant surgery. 4. The recovery ratio was 72.3% in the tooth extraction, 71.8% in the implant surgery. Most of them, they recovered in $1{\sim}6$ months. In conclusion, most of dysesthesia may be recovered within 1 year. However, the possibility of persistent dysesthesia should not be neglected. Therefore, practitioners must discuss the possibility of nerve injury with their patients, and include this possibility in the consent forms. Various methods of monitoring recovery of sensation should be considered for objective assessment of prognosis. In addition, immediate referral to orofacial pain specialists can offer the patients an opportunity for more effective and noninvasive treatments.
Keywords
Dysesthesia; Implant surgery; Nerve injury; Tooth extraction;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Pogrel MA, Renaut A, Schmidt B, Ammar A. The relationship of the lingual nerve to the mandibular third molar region: an anatomic study. J Oral Maxillofac Surg 1995;53:1178-1181   DOI   ScienceOn
2 Miloro M, Halkias LE, Slone HW, Chakeres DW. Assessment of the lingual nerve in the third molar region using magnetic resonance imaging. J Oral Maxillofac Surg 1997;55:134-137   DOI   ScienceOn
3 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;35:254-259   DOI   ScienceOn
4 De Koomen HA. A prosthetic view on vestibuloplasty with free mucosal graft. Int J Oral Surg 1977;6: 388-411
5 Nickel JJ. A retrospective study of paraesthesia of the dental alveolar nerves. Anesth Prog 1990;37:42-45
6 Morse DR. Infection-related mental and inferior alveolar nerve paresthesia: literature review and presentation of two cases. J Endod 1997;23:457-460   DOI   ScienceOn
7 Joubert JJ, Farman AG, Nortjé CJ. Lip paresthesia of dental origin. J Oral Med 1979;34:26-27
8 Lambrianidis T, Molyvdas J. Paresthesia of the inferior alveolar nerve caused by periodontal-endodontic pathosis. Oral Surg Oral Med Oral Pathol 1987;63: 90-92   DOI   ScienceOn
9 Sisk AL, Hammer WB, Shelton DW, Joy ED Jr. Complications following removal of impacted third molars: the role of the experience of the surgeon. J Oral Maxillofac Surg 1986;44:855-859   DOI   ScienceOn
10 Ferdousi AM, MacGregor AJ. The response of the peripheral branches of the trigeminal nerve to trauma. Int J Oral Surg 1985;14:41-46   DOI
11 Smith RS. Long-term complications of osseointegrated implants. In Kaban BL, Pogrel MA, Perrot HD(Eds). Complications in Oral and Maxillofacial Surgery. Philadelphia. 1997, Saunders, pp. 319-358
12 Davenport JC. Pressure-pain thresholds in the oral cavity in man. Arch Oral Biol 1969;14:1267-1274   DOI   ScienceOn
13 Van Sickels JE, Zysset M, Nishioka GJ, Thrash WJ. A comparative study of normal sensibility of the inferior alveolar nerve and the infraorbital nerve. Oral Surg Oral Med Oral Pathol 1989;67:255-257   DOI   ScienceOn
14 Merrill RG. Prevention, treatment, and prognosis for nerve injury related to the difficult impaction. Dent Clin North Am 1979;23:471-88
15 Ellies LG, Hawker PB. The prevalence of altered sensation associated with implant surgery. Int J Oral Maxillofac Implants 1993;8:674-679
16 Graff-Radford SB, Evans RW. Lingual nerve injury. Headache 2003;43:975-983   DOI   ScienceOn
17 Kiesselbach J, Chamberlain J. Clinical and anatomic observations on the relationship of the lingual nerve to the mandibular third molar region. J Oral Maxillofac Surg 1984;42:565-567   DOI   ScienceOn
18 Waiters H. Reducing lingual nerve damage in third molar surgery: A clinical audit of 1350 cases. Br Dent J 1995;178:140-144   DOI   ScienceOn
19 Palat M. Assessing legal responsibility for implant failure. Compendium 1991;12:295-296
20 Sandstedt P, Sörensen S. Neurosensory disturbances of the trigeminal nerve: a long-term follow-up of traumatic injuries. J Oral Maxillofac Surg 1995;53: 498-505   DOI   ScienceOn
21 Howe GL, Poyton HG. Prevention of damage to the inferior dental nerve during the extraction of mandibular third molars. Br Dent J 1960;109:335-336
22 Campbell RL, Shamaskin RG, Harkins SW. Assessment of recovery from injury to inferior alveolar and mental nerves. Oral Surg Oral Med Oral Pathol 1987;64:519-526   DOI   ScienceOn
23 Rood JP. Permanent damage to inferior alveolar and lingual nerves during the removal of impacted mandibular third molars. Comparison of two methods of bone removal. Br Dent J 1992;172:108-110   DOI   ScienceOn
24 Kipp DP, Gildstein BH, Weiss WW. Dysesthesia after mandibular third molar surgery. A retrospective study and analysis of 1377 surgical procedures. J Am Dent Assoc 1980;100:185-192   DOI
25 Van Steenberghe D, Lekhol U, Bolender C et al.. Applicability of osseointegrated oral implants in the rehabilitation of partial edentulism: a prospective multicenter study on 558 fixtures. Int J Oral Maxillofac Implants 1990;5:272-281
26 Kiyak HA, Beach BH, Worthington P, Taylor T, Bolender C, Evans J. Psychological impact of osseointegrated dental implants. Int J Oral Maxillofac Implants 1990;5:61-69
27 Cohenca N, Rotstein I. Mental nerve paresthesia associated with a non-vital tooth. Endod Dent Traumatol 1996;12:298-300   DOI
28 Glassmann GD. Flare-up with associated paresthesia of a mandibular second premolar with three root canals. Oral Surg Oral Med Oral Pathol 1987;64: 110-113   DOI   ScienceOn
29 Bruce RA, Frederickson GC, Small GS. Age of patients and morbidity associated with mandibular third molar surgery. J Am Dent Assoc 1980;101:240-245   DOI
30 Osvaldo Zmener. Mental Nerve Paresthesia Associated with an adhesive resin restoration-a case report. J of Endodontics 2004;30:117-119   DOI   ScienceOn
31 Baily PH, Bays RA. Evaluation of long term sensory changes following mandibular augmentation procedures. J Oral Maxillofac Surg 1984;42:722-727   DOI   ScienceOn
32 Carmichael FA, McGowan DA. Incidence of nerve damage following third molar removal. A West of Scotland Oral Surgery Research Group study. Br J Oral Maxillofac Surg 1992;30:78-82   DOI   ScienceOn
33 Ellies LG. Altered sensation following mandibular implant surgery: a retrospective study. J Prosthet Dent 1992;68:664-671   DOI   ScienceOn
34 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: 1408-1412   DOI   ScienceOn
35 Simpson HE. Injuries to the inferior dental and mental nerves. J Oral Surg 1958;16:300-305
36 Rood JP. Lingual split technique. Damage to inferior alveolar and lingual nerves during removal of impacted mandibular third molars. Br Dent J 1983;154:402-403   DOI   ScienceOn
37 Morse DR. Endodontic-related inferior alveolar nerve and mental foramen paresthesia. Comp Cont Ed Dent 1997;18:963-987
38 Gilbert BO, Dickerson AW II. Paresthesia of the mental nerve after an acute exacerbation of chronic apical periodontitis. J Am Dent Assoc 1981;103:588-590   DOI
39 Omer GE. Methods of assessment of injury and recovery of peripheral nerves. Surg Clin North Am 1981;61:303-319   DOI
40 Kim JH, Choi JH, Kim CY. A study on the types of the medical accidents and the counterplan of the dentists in Seoul. Korean J Oral Med 1998;23:157-191
41 Antrim DD, Linda L. Paresthesia of the inferior alveolar nerve caused by periapical pathology. J Endod 1978;4:220-221   DOI   ScienceOn
42 Robinson PP, Smith KG, Johnson FP, Coppins DA. Equipment and methods for simple sensory testing. Br J Oral Maxillofac Surg 1992;30:387-389   DOI   ScienceOn