A selection of abstracts of clinically relevant papers from other journals. The abstracts on this page have been chosen and edited by John R. Radford.
Abstract
If nerve damage is suspected during implant surgery, arrange without delay the administration of dexamethasone and referral to a specialist in microsurgical repair.
Main
Misch CE, Resnick R. Implant Dent 2010; 19: 378–386
As the inferior dental nerve has more fascicules (nerve fibres arranged in bundles) than the lingual nerve, the recovery of sensation following injury is more favourable after damage. The more proximal the nerve damage (for example, in the region of the ramus), the greater the risk of permanent neurosensory damage. In addition, nerve impairment is reported to be more common in females and in older people. Neuropathy is minimised, if dexamethasone is administered within one week of the injury. In addition, high dose NSAIDs are beneficial if taken for three weeks, or longer, after the injury. Surgical intervention (decompression, direct anastomosis or nerve grafts), is more predictable if carried out within three months of the nerve damage.
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Mandibular nerve neurosurgery impairment after dental implant surgery: management and protocol. Br Dent J 210, 213 (2011). https://doi.org/10.1038/sj.bdj.2011.172
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DOI: https://doi.org/10.1038/sj.bdj.2011.172
