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Inferior alveolar nerve

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https://www.readbyqxmd.com/read/28809376/inferior-alveolar-nerve-trajectory-mental-foramen-location-and-incidence-of-mental-nerve-anterior-loop
#1
M Velasco-Torres, M Padial-Molina, G Avila-Ortiz, R García-Delgado, A Catena, P Galindo-Moreno
OBJECTIVES: Injury of the inferior alveolar nerve (IAN) is a serious intraoperative complication that may occur during routine surgical procedures, such as dental implant placement or extraction of impacted teeth. Thus, the purpose of this study was to analyze the trajectory of the mandibular canal (MC), the location of the mental foramen (MF) and the presence and extension of an anterior loop of the mental nerve (AL). STUDY DESIGN: In this cross-sectional study, a total of 348 CBCTs were analyzed...
August 15, 2017: Medicina Oral, Patología Oral y Cirugía Bucal
https://www.readbyqxmd.com/read/28809364/clinician-related-factors-behind-the-decision-to-extract-an-asymptomatic-lower-third-molar-a-cross-sectional-study-based-on-spanish-and-portuguese-dentists
#2
D Alves-Pereira, D Pereira-Silva, R Figueiredo, C Gay-Escoda, E Valmaseda-Castellón
BACKGROUND: Scientific literature estimates that around 18 to 40 % of asymptomatic third molars are extracted. The aims of the present study were to determine the indications for extraction of asymptomatic lower third molars in a sample of Spanish and Portuguese dentists, and to relate these indications to the clinicians' training and professional experience. MATERIAL AND METHODS: A survey consisting of 15 cases of asymptomatic lower third molars was emailed to Portuguese and Spanish dentists...
August 15, 2017: Medicina Oral, Patología Oral y Cirugía Bucal
https://www.readbyqxmd.com/read/28806384/transient-amaurosis-and-diplopia-after-inferior-alveolar-nerve-block
#3
Onur Odabaşi, Onur Şahin, Mehmet Emrah Polat
A 40-year-old female patient was admitted to the authors' oral and maxillofacial clinic for removal of her lower left second molar under local anesthesia. The patient's medical history revealed that she had cardiac arhythmia and hypertension. Inferior alveolar nerve block was achieved using 2 mL of sefacaine (%3 mepivacaine HCL, without epinephrine). The patient complained of loss of vision in her left eye. All procedures were stopped immediately. Within 2 minutes the patient reported diplopia. All of the symptoms disappeared about 5 minutes after initial observation...
August 10, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28791080/three-dimensional-printing-model-as-a-tool-to-assist-in-surgery-for-large-mandibular-tumour-a-case-report
#4
Kazuyuki Yusa, Hideyuki Yamanochi, Akira Takagi, Mitsuyoshi Iino
OBJECTIVES: Recently, three-dimensional printing models based on preoperative computed tomography and magnetic resonance imaging images have been widely used in medical fields. This study presents an effective use of the three-dimensional printing model in exploring complex spatial relationship between the tumour and surrounding tissue and in simulation surgery based planning of the operative procedure. MATERIAL AND METHODS: The patient was a 7-year-old boy with ameloblastic fibro-odontoma...
April 2017: Journal of Oral & Maxillofacial Research
https://www.readbyqxmd.com/read/28790964/numb-chin-syndrome-leading-to-a-diagnosis-of-salivary-ductal-adenocarcinoma-a-case-report-and-review-of-the-literature
#5
Lei Wu, Yifan Zheng, Zhou Zhou, Yanmei Liu, Weixi Zhang, Qi Wu
Numb chin syndrome (NCS) refers to a rare sensory neuropathy characterized by numbness of the chin within the distribution of the mental or inferior alveolar nerve. Although NCS is usually caused by a benign process, it should not be underestimated and a thorough diagnostic evaluation for a new or known progressive malignancy should always be performed. Here, we report a case of salivary ductal adenocarcinoma that mimicked a pulpitis and periodontitis in its early presentation accompanied by numbness of chin...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/28774851/a-prospective-study-of-chin-bone-graft-harvesting-for-unilateral-maxillary-alveolar-cleft-during-mixed-dentition
#6
AliReza Shirzadeh, Amin Rahpeyma, Saeedeh Khajehahmadi
PURPOSE: The chin is a common donor site for alveolar cleft bone grafting. The amount of bone available at this site can be limited, because conservative harvesting with mixed dentition must consider the incisive nerve, the unerupted mandibular canine, and the integrity of the inferior mandibular border. MATERIALS AND METHODS: Patients with nonsyndromic unilateral alveolar cleft in the mixed dentition stage were selected for this study. The volume of bone obtained from the mandibular symphysis (symphysis menti), degree of alteration in lower lip sensation, anterior tooth vitality, remaining bone in the alveolar cleft, and bone defects at the donor site 1 year after surgery were evaluated...
July 10, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28760318/the-horizontal-inclination-angle-is-associated-with-the-risk-of-inferior-alveolar-nerve-injury-during-the-extraction-of-mandibular-third-molars
#7
S Ishii, S Abe, A Moro, N Yokomizo, Y Kobayashi
The extraction of mandibular third molars can lead to injury to the inferior alveolar nerve. Hence, it is important to assess the proximity of the root to the inferior alveolar canal before extraction. The classification system of Pell and Gregory and the Winter classification are commonly used to evaluate the positional relationship of the third molar based on radiographs. This retrospective study involving 105 mandibular third molars was performed to assess whether these systems reflect the proximity of the root to the canal (based on computed tomography images), and to identify risk factors for nerve injury...
July 29, 2017: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28751945/injured-anterior-superior-alveolar-nerve-endoscopically-resected-within-maxillary-sinus
#8
Amir H Dorafshar, A Lee Dellon, Eric Lee Wan, Sashank Reddy, Victor W Wong
Posttraumatic facial pain is due to an injured nerve, most often a branch of the trigeminal nerve. While surgical approaches to injuries of the supraorbital, supratrochlear, infraorbital, and inferior alveolar nerves have been reported, an injury to the anterior superior alveolar nerve (ASAN) has not been reported. An algorithm is proposed for the diagnosis of injury to the ASAN versus the infraorbital nerve itself. A case is reported in which pain relief was achieved by dividing the ASAN within the maxillary sinus, leaving the proximal end exposed within the sinus at the level of the orbital floor...
September 2017: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/28740786/virtual-surgical-planning-for-mandibular-distraction-in-infants-with-robin-sequence
#9
Cory M Resnick
Mandibular distraction osteogenesis (MDO) successfully relieves obstructive sleep apnea in many infants with Robin sequence. Preoperative virtual surgical planning and fabrication of three-dimensionally printed cutting guides may lead to further improvements in the MDO technique and decrease the risk for damage to adjacent structures such as developing teeth and the inferior alveolar nerve. This report presents an algorithm for virtual surgical planning and three-dimensionally printing of cutting guides for MDO in infants with RS...
June 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28736921/supplementary-techniques-for-pain-control-during-root-canal-treatment-of-lower-posterior-teeth-with-irreversible-pulpitis-a-systematic-review-and-meta-analysis
#10
Pinpana Tupyota, Pattama Chailertvanitkul, Malinee Laopaiboon, Chetta Ngamjarus, Paul V Abbott, Suttichai Krisanaprakornkit
The purpose of this systematic review and meta-analysis was to evaluate utilisation of supplementary techniques for pain control during root canal treatment of lower molars with irreversible pulpitis. The literature was searched using electronic databases up to year 2012. Seventeen studies with 1504 participants were included and each study compared experimental interventions with a standard treatment, i.e. the inferior alveolar nerve block. Changing the injection techniques or supplemental injection had no significant effect on pulp anaesthesia compared to the standard treatment (P = 1...
July 24, 2017: Australian Endodontic Journal: the Journal of the Australian Society of Endodontology Inc
https://www.readbyqxmd.com/read/28731548/oral-lacerations-during-motocross-a-case-report
#11
Shunsuke Hino, Akio Takeda, Takahiro Kaneko, Norio Horie, Tetsuo Shimoyama
Motocross is a high-risk sport that can cause serious injuries including oral injuries. However, mouthguard use is not mandatory in motocross. This report describes a case of an oral laceration with exposure of bilateral inferior alveolar nerves as a result of a motocross accident in which the patient was not wearing a mouthguard. This article is protected by copyright. All rights reserved.
July 21, 2017: Dental Traumatology: Official Publication of International Association for Dental Traumatology
https://www.readbyqxmd.com/read/28728749/numb-chin-with-mandibular-pain-or-masticatory-weakness-as-indicator-for-systemic-malignancy-a-case-series-study
#12
Shin-Yu Lu, Shu-Hua Huang, Yen-Hao Chen
BACKGROUND/PURPOSE: Numb chin syndrome (NCS) is a critical sign of systemic malignancy; however it remains largely unknown by clinicians and dentists. The aim of this study was to investigate NCS that is more often associated with metastatic cancers than with benign diseases. METHODS: Sixteen patients with NCS were diagnosed and treated. The oral and radiographic manifestations were assessed. RESULTS: Four (25%) of 16 patients with NCS were affected by nonmalignant diseases (19% by medication-related osteonecrosis of the jaw and 6% by osteopetrosis); yet 12 (75%) patient conditions were caused by malignant metastasis, either in the mandible (62%) or intracranial invasion (13%)...
July 17, 2017: Journal of the Formosan Medical Association, Taiwan Yi Zhi
https://www.readbyqxmd.com/read/28725963/robot-assisted-surgery-for-mandibular-angle-split-osteotomy-using-augmented-reality-preliminary-results-on-clinical-animal-experiment
#13
Chaozheng Zhou, Ming Zhu, Yunyong Shi, Li Lin, Gang Chai, Yan Zhang, Le Xie
Mandibular angle split osteotomy (MASO) is a procedure widely used for prominent mandibular angles. However, conventional mandibular plastic surgery is invasive and high risk. It may induce postoperative neurosensory disturbance of the inferior alveolar nerve, fractures and infection due to the complexity of the anatomical structure and the narrow surgical field of view. The success rate of MASO surgery usually depends on the clinical experience and skills of the surgeon. To evaluate the performance of inexperienced plastic surgeons conducting this surgery, a self-developed and constructed robot system based on augmented reality is used...
July 19, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28717296/surgical-management-of-laterognathia-in-orthofacial-surgery
#14
J M García Y Sánchez, C L Gómez Rodríguez, J Romero Flores
INTRODUCTION: Each year around the world, various surgical procedures are carried out with the goal of correcting laterognathia; both the intraoral vertical ramus osteotomy (IVRO) and bilateral sagittal split ramus osteotomy (OSB) have been the most used techniques in mandibular surgery. These techniques have advantages and disadvantages; for example the advantages of the OSB include: increased coefficient of friction between bony segments, for both the forward and the retroposition, as well as decrease in the time of intermaxillary fixation (IMF)...
September 2017: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/28717288/cone-beam-computed-tomographic-analysis-of-the-course-and-position-of-mandibular-canal
#15
Hooman Khorshidi, Saeed Raoofi, Janan Ghapanchi, Shoaleh Shahidi, Maryam Paknahad
PURPOSE: Estimation of the relative position of infra alveolar nerve (IAN) canal and its relation to the mandibular anatomical landmarks can be clinically useful in minimizing the risk of surgery complications such as neurosensory disturbances that may occur after invasive mandibular surgical procedures. The purpose of the present study was to investigate the anatomic location and radiographic course of the mandibular canal compared to anatomic landmarks on CBCT and to discuss its clinical significance and also to determine the possible correlations between the mandibular position and the age of the patients...
September 2017: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/28708654/the-status-of-affected-infraorbital-nerve-and-inferior-alveolar-nerve-in-patients-with-jaw-fibrous-dysplasia-a-clinical-and-radiographic-evaluation
#16
Zhen Du, Yifeng Jiang, Long Chen
The affected infraorbital nerve (IFBN) and inferior alveolar nerve (IFAN) status in patients with jaw fibrous dysplasia has not been definitely depicted. In this study, the authors try to explore the status of affected IFBN and IFAN in patients with jaw fibrous dysplasia. Ten patients with jaw fibrous dysplasia were included in this study. The complaints of numbness in the IFBA and IFAN innervated area were asked and recorded, and careful clinical examination was performed to evaluate the touch sense, pain sense, pressure sense, and temperature sense in the IFBA and IFAN innervated areas...
July 13, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28708475/prevalence-and-length-of-the-anterior-loop-of-the-inferior-alveolar-nerve-in-iranians
#17
Mahsa Shariati, Maryam Rastegar Moghddam, Zeinab Davoudmanesh, Nasim Azizi, Vahid Rakhshan
The anterior loop of the inferior alveolar nerve is a sensitive anatomical feature which should be taken into account during installing dental implants anterior to the mental foramen. Since results regarding its prevalence and length are controversial, this study was conducted. A total of 452 mandible quadrants of 234 patients (age: 50.1±13.3 years, 113 males, 121 females) were studied using cone-beam computerized tomography (CBCT). After reconstructing axial, frontal, and sagittal slices, the region between the most anterior point on the mental foramen and the most anterior part of the mandibular nerve was inspected for signs of anterior loop presence...
July 14, 2017: Journal of Oral Implantology
https://www.readbyqxmd.com/read/28706780/neurosensory-evaluation-of-inferior-alveolar-nerve-after-bilateral-sagittal-split-ramus-osteotomy-of-mandible
#18
P G Antony, Aneesh Sebastian, K George Varghese, C R Sobhana, S Mohan, C S Soumithran, Shiney Domnic, N Jayakumar
Mandibular skeletal deformities are mostly corrected by Sagittal Split Ramus Osteotomy. One of the main complications of Bilateral Sagittal Split Ramus Osteotomy is impairement of sensory function of Inferior Alveolar Nerve. OBJECTIVES: To evaluate the occurrence of neurosensory disturbance by comparing the subjective and objective assessment of neurosensory responses after bilateral sagittal split ramus osteotomy.To assess the progress of recovery from the first post operative day till six months...
May 2017: Journal of Oral Biology and Craniofacial Research
https://www.readbyqxmd.com/read/28700034/application-of-endoscopy-to-treat-mandibular-keratocystic-odontogenic-tumors
#19
Z Gao, Q W Ni, W Gao, Y P Liu, Q Zhang
The aim of this study was to evaluate the feasibility of endoscopy to remove keratocystic odontogenic tumors (KCOTs) with virtual 3D mandibular images. Fifteen patients (mean age, 40.27±14.58 years) who underwent endoscopic mandibular KCOT enucleation between May 2009 and October 2009 were included. Virtual 3D mandibular reconstructions derived from computed tomography (CT) imaging were generated for all patients. Recurrence and pathological fracture were evaluated as the primary outcome variables at 1 and 12 months after operation...
July 10, 2017: Brazilian Journal of Medical and Biological Research, Revista Brasileira de Pesquisas Médicas e Biológicas
https://www.readbyqxmd.com/read/28694714/sensitivity-specificity-predictive-values-and-accuracy-of-three-diagnostic-tests-to-predict-inferior-alveolar-nerve-blockade-failure-in-symptomatic-irreversible-pulpitis
#20
Daniel Chavarría-Bolaños, Laura Rodríguez-Wong, Danny Noguera-González, Vicente Esparza-Villalpando, Mauricio Montero-Aguilar, Amaury Pozos-Guillén
INTRODUCTION: The inferior alveolar nerve block (IANB) is the most common anesthetic technique used on mandibular teeth during root canal treatment. Its success in the presence of preoperative inflammation is still controversial. The aim of this study was to evaluate the sensitivity, specificity, predictive values, and accuracy of three diagnostic tests used to predict IANB failure in symptomatic irreversible pulpitis (SIP). METHODOLOGY: A cross-sectional study was carried out on the mandibular molars of 53 patients with SIP...
2017: Pain Research & Management: the Journal of the Canadian Pain Society
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