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Dental Implant-Related Injuries of the Trigeminal Nerve

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Trigeminal Nerve Injuries

Abstract

Placement of dental implants has become the standard of care for replacement of missing teeth when indicated. Implant surgery is now performed by several of the dental specialties, including oral and maxillofacial surgery. Injuries to the inferior alveolar nerve (IAN) and the mental nerve (MN) are known risks for the placement of dental implants in the mandible. Upon diagnosis of a nerve injury, prompt evaluation of the patient’s sensory function, assessment of the position of the implant with relation to the inferior alveolar canal, and timely decisions regarding the fate of the implant and management of the nerve injury will maximize the likelihood of a favorable outcome.

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Suggested Reading

  1. Al-Bishri A, Dahlin L, Sunzel B et al (2005) Systemic betamethasone accelerates functional recovery after a crush injury to rat sciatic nerve. J Oral Maxillofac Surg 63:973

    Article  PubMed  Google Scholar 

  2. Bagheri SC, Meyer RA (2011) Microsurgical repair of injuries to the inferior alveolar nerve associated with dental implants. In: Steed MB (ed) Atlas of the oral and maxillofacial surgery clinics of North America

    Google Scholar 

  3. Bagheri SC, Meyer RA, Khan HA et al (2009) Microsurgical repair of peripheral trigeminal nerve injuries from maxillofacial trauma. J Oral Maxillofac Surg 67:1791

    Article  PubMed  Google Scholar 

  4. Bagheri SC, Meyer RA, Khan HA et al (2010) Retrospective review of microsurgical repair of 222 lingual nerve injuries. J Oral Maxillofac Surg 68(4):715–723

    Article  PubMed  Google Scholar 

  5. Bagheri SC, Meyer RA, Ali Khan H et al (2010) Microsurgical repair of the peripheral trigeminal nerve after mandibular sagittal split ramus osteotomy. J Oral Maxillofac Surg 68:2770–2782

    Article  PubMed  Google Scholar 

  6. Bagheri SC, Meyer RA, Cho SH et al (2012) Microsurgical repair of the inferior alveolar nerve: success rate and factors which adversely affect outcome. J Oral Maxillofac Surg 70(8):1978–1990

    Article  PubMed  Google Scholar 

  7. Bartling R, Freeman K, Kraut R (1999) The incidence of altered sensation of the mental nerve after mandibular implant placement. J Oral Maxillofac Surg 57:1408–1410

    Article  PubMed  CAS  Google Scholar 

  8. Boyne PJ (1982) Postexodontia osseous repair involving the mandibular canal. J Oral Maxillofac Surg 40:69–77

    Article  PubMed  CAS  Google Scholar 

  9. Branemark P-I (1983) Osseointegration and its experimental background. J Prosthet Dent 50:399–410

    Article  PubMed  CAS  Google Scholar 

  10. Chaushu G, Taicher S, Haiamish-Shani T, Givol N (2002) Medicolegal aspects of altered sensation following implant placement in the mandible. Int J Oral Maxillofac Implants 17:413–415

    PubMed  Google Scholar 

  11. Dario LJ, English R (1994) Achieving implant reconstruction through bilateral mandibular nerve reposition. J Am Dent Assoc 123:305–309

    Google Scholar 

  12. Gregg JM, Zuniga JR (2001) An outcome analysis of clinical trials of the surgical treatment of traumatic trigeminal sensory neuropathy. Oral Maxillofac Surg Clin North Am 13:377

    Google Scholar 

  13. Hillerup S (2011) Update on injuries related to injection of local anesthetics. In: Symposium: update on nerve injury, diagnosis and repair. Amer Assoc Oral Maxillofac Surg, 93rd annual meeting, Philadelphia, 19 Sept

    Google Scholar 

  14. Jensen O, Nock D (1987) Inferior alveolar nerve repositioning in conjunction with placement of osseointegrated implants: a case report. Oral Surg Oral Med Oral Pathol 63:263–266

    Article  PubMed  CAS  Google Scholar 

  15. Kraut RA, Chanal O (2002) Management of patients with trigeminal nerve injuries after mandibular implant placement. J Am Dent Assoc 133:1352–1354

    Google Scholar 

  16. LaBanc JP, Epker BN (1992) Trigeminal nerve reconstruction surgery using the great auricular nerve transfer technique. Oral Maxillofac Surg Clin North Am 4:459–463

    Google Scholar 

  17. LaBanc JP, Van Boven RW (1992) Surgical management of inferior alveolar nerve injuries. Oral Maxillofac Surg Clin North Am 4:425

    Google Scholar 

  18. Louis PJ (2001) Inferior alveolar nerve repositioning. Atlas Oral Maxillofac Surg Clin North Am 9:93–128

    PubMed  CAS  Google Scholar 

  19. Meyer RA (1992) Applications of microneurosurgery to the repair of trigeminal nerve injuries. Oral Maxillofac Surg Clin North Am 4:405

    Google Scholar 

  20. Meyer RA (2001) Nerve harvesting procedures. Atlas Oral Maxillofac Surg Clin North Am 9:77–91

    PubMed  CAS  Google Scholar 

  21. Meyer RA, Rath EM (2001) Sensory rehabilitation after trigeminal nerve injury or nerve repair. Clin North Am 13:365

    Google Scholar 

  22. Meyer RA, Ruggiero SL (2001) Guidelines for diagnosis and treatment of peripheral trigeminal nerve injuries. Oral Maxillofac Surg Clin North Am 13:383

    Google Scholar 

  23. Miloro M, Halkias LE, Chakeres DW, Slone W (1997) Assessment of the lingual nerve in the third molar region using magnetic resonance imaging. J Oral Maxillofac Surg 55:134–137

    Article  PubMed  CAS  Google Scholar 

  24. Miloro M, Stoner JA (2005) Subjective outcomes following sural nerve harvest. J Oral Maxillofac Surg 63:1150–1154

    Article  PubMed  Google Scholar 

  25. Phillips C, Blakey G, Essick GK (2011) Sensory retraining: a cognitive behavioral therapy for altered sensation. Atlas Oral Maxillofac Surg Clin North Am 19:909

    Article  Google Scholar 

  26. Pola R, Aprahamian TR, Bosch-Marce M, Curry C, Gaetani E, Flex A, Smith RC, Isner JM, Losordo DW (2004) Age-dependent VEGF expression and intraneural neovascularization during regeneration of peripheral nerves. Neurobiol Aging 25:1361

    Article  PubMed  CAS  Google Scholar 

  27. Pogrel MA, Bryan J, Regezi J (1995) Nerve damage associated with inferior alveolar nerve blocks. J Am Dent Assoc 126(8):1150–1155

    PubMed  CAS  Google Scholar 

  28. Pogrel MA, Thamby S (2000) Permanent nerve involvement resulting from inferior alveolar nerve blocks. J Am Dent Assoc 131(7):901–907

    PubMed  CAS  Google Scholar 

  29. Pogrel MA (2002) The results of microneurosurgery of the inferior alveolar and lingual nerve. J Oral Maxillofac Surg 60:485

    Article  PubMed  Google Scholar 

  30. Queresby FA, Savell TA, Palomo JM (2008) Applications of cone beam computed tomography in the practice of oral and maxillofacial surgery. J Oral Maxillofac Surg 66:791–796

    Article  Google Scholar 

  31. Seddon HJ (1947) Nerve lesions complicating certain closed bone injuries. J Am Med Assoc 135:691

    Article  PubMed  CAS  Google Scholar 

  32. Seo K, Tanaka Y, Terumitsu M et al (2004) Efficacy of steroid treatment for sensory impairment after orthognathic surgery. J Oral Maxillofac Surg 62:1193

    Article  PubMed  Google Scholar 

  33. Susarla S, Kaban L, Donoff RB, Dodson T (2007) Does early repair of lingual nerve injuries improve functional sensory recovery? J Oral Maxillofac Surg 65:1070–1076

    Article  PubMed  Google Scholar 

  34. Verdu E, Ceballos D, Vilches JJ, Navarro X (2000) Influence of aging on peripheral nerve function and regeneration. J Peripher Nerv Syst 5:191

    Article  PubMed  CAS  Google Scholar 

  35. Wynn Parry CB (1984) Brachial plexus injuries. Br J Hosp Med 32(3):130–132, 134–139

    PubMed  CAS  Google Scholar 

  36. Ziccardi V, Steinberg M (2007) Timing of trigeminal nerve microsurgery: a review of the literature. J Oral Maxillofac Surg 65:1341–1345

    Article  PubMed  Google Scholar 

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Correspondence to Shahrokh C. Bagheri DMD, MD, FACS, FICD .

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Bagheri, S.C., Meyer, R.A. (2013). Dental Implant-Related Injuries of the Trigeminal Nerve. In: Miloro, M. (eds) Trigeminal Nerve Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35539-4_6

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  • DOI: https://doi.org/10.1007/978-3-642-35539-4_6

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  • Publisher Name: Springer, Berlin, Heidelberg

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  • Online ISBN: 978-3-642-35539-4

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