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- Title
Prevalence of neuropathic pain and sensory alterations after dental implant placement in a university-based oral surgery department: A retrospective cohort study.
- Authors
Vázquez‐Delgado, Eduardo; Viaplana‐Gutiérrez, Marta; Figueiredo, Rui; Renton, Tara; Gay‐Escoda, Cosme; Valmaseda‐Castellón, Eduard; Vázquez-Delgado, Eduardo; Viaplana-Gutiérrez, Marta; Gay-Escoda, Cosme; Valmaseda-Castellón, Eduard
- Abstract
<bold>Objective: </bold>To determine the prevalence and the clinical features of patients with neuropathic pain and sensory alterations after dental implant placement.<bold>Background: </bold>Literature is very scarce concerning the prevalence of neuropathic pain after dental implant placement.<bold>Patients and Methods: </bold>A retrospective cohort study was made in patients submitted to dental implant placement in the Dental Hospital of the University of Barcelona. A descriptive analysis of the data was made, and the 95% confidence intervals (95% CI) were calculated for the prevalences.<bold>Results: </bold>The study sample was composed of 1156 subjects of whom, 1012 patients (3743 dental implants) met the study inclusion criteria. Four hundred and seventeen patients (41.2%) were male and 595 (58.8%) were female, with a mean age of 60.7 years (range 16-90 years). Three patients were diagnosed as having painful post-traumatic trigeminal neuropathy (PPTN), which corresponds to a prevalence of 0.3% (95% CI: 0%-0.6%). Additionally, 5 patients (0.5%; 95% CI: 0%-1.07%) presented trigeminal neuropathy without pain (TNWP). The combined prevalence of both disorders was 0.8% (95% CI: 0.02%-1.3%). All patients with PPTN and TNWP were 60 years old or older, with a total combined prevalence of 1.48% (95% CI: 0.46%-2.5%) in this age group. Additionally, the prevalence in this age group for women was 1.85% (95%CI: 0.38%-3.31%).<bold>Conclusions: </bold>Neuropathic pain after dental implant placement is very infrequent (0.3%) in a University Oral Surgery department. However, the presence of trigeminal neuropathies can be slightly higher and can affect up to 0.5% of patients. Older female patients seem to be more prone to this rare and disabling complication.
- Subjects
SPAIN; DENTAL implant complications; ORAL surgery; POSTOPERATIVE pain; CONFIDENCE intervals; NEUROPATHY; TRIGEMINAL nerve; DENTAL implants; NEURALGIA; UNIVERSITIES &; colleges; SENSORY disorders; DISEASE prevalence; RETROSPECTIVE studies; WOUNDS &; injuries
- Publication
Gerodontology, 2018, Vol 35, Issue 2, p117
- ISSN
0734-0664
- Publication type
journal article
- DOI
10.1111/ger.12326