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- Title
EVALUATION OF THE RISK OF NEUROSENSORY DEFICIT AFTER THE ODONTECTOMY OF IMPACTED THIRD MANDIBULAR MOLAR.
- Authors
Mitrea, Mihaela; Partene-Vicoleanu, Simona; Rusu, Anca; Călin, Dorelia Lucia
- Abstract
Mandibular third molar extraction is a very commonly performed procedure in dental practice and is associated with certain risks, especially postoperative neurological damage. The purpose of this study was to determine the incidence of inferior alveolar nerve and lingual nerve injuries after surgical removal of impacted lower wisdom teeth. Material and method: 63 patients have required extraction of impacted third mandibular molar with roots in close relationship with the mandibular canal.Odontectomy was performed through the technique with vestibular approach and fragmentation of the crown and roots. Results: In 5 cases (3.15%) was noted the occurrence of temporary paresthesia of inferior alveolar nerve. Sensory disturbances were not reported in the the tongue, which indicates that lingual nerve was not injured in all the cases. No permanent neurosensory disturbances were noted. Conclusions: The use of the technique with vestibular approach and fragmentation of the tooth has allowed the preservation of anatomical integrity and reduction of postoperative neurosensory deficit.
- Subjects
PRACTICE of dentistry; THIRD molars; VESTIBULAR nerve; PSYCHODIAGNOSTICS; PARESTHESIA
- Publication
Romanian Journal of Functional & Clinical, Macro & Microscopical Anatomy & of Anthropology / Revista Româna de Anatomie Functionala si Clinica, Macro si Microscopica si de Antropologie, 2014, Vol 13, Issue 3, p418
- ISSN
1583-4026
- Publication type
Article