INFERIOR ALVEOLAR NERVE DEFICIT AFTER REMOVAL OF LOWER THIRD MOLARS-FREQUENCY AND FACTORS AFFECTING NERVE DAMAGE IN PROSPECTIVE CLINICAL STUDY OF 1487 EXTRACTIONS IN 1185 PATIENTS

Authors

  • Muhammad Israr Oral and Maxillofacial Surgery Department, Shifa College of Dentistry, Islamabad
  • Nigam Sattar Oral and Maxillofacial Surgery Department, Shifa College of Dentistry, Islamabad
  • Muhammad Irfan Oral and Maxillofacial Surgery Department, Lady reading Hospital ,Peshawar
  • Muslim Khan Oral and Maxillofacial Surgery Department, Khyber College of Dentistry, Peshawar
  • Sadiq Rehman Resident, Surgery department (B ward), Khyber Teaching Hospital, Peshawar.

DOI:

https://doi.org/10.33279/jkcd.v11i02.148

Keywords:

Neurosensory deficit, third molar removal, inferior alveolar nerve damage

Abstract

Objective:

To determine the Frequency of inferior alveolar nerve injury and to assess the relationship of the nerve deficit with contributory risk factors like causes of removal, patient’s age, and anesthetic modality.

Materials and Methods:

All the procedures were carried out in Maroof International Hospital from January 2016 to August 2020. About 1185 consecutive patients were included in the study who were treated over a period of 5 years. A total of 1487 surgical extractions were performed.
Surgery was done either under local anesthesia (72.1%) or IV sedation with local anesthesia (27.9%). All the procedures were performed by the same single senior consultant with the same two nurses. Follow up was done at one, three, and six weeks and six months.

Results:

Eight cases (0.53%) had temporary inferior alveolar nerve deficit which settled within six weeks. No permanent neurological damage was observed. Cases with pericoronitis were significantly associated with postoperative temporary nerve damage (p<0.001). Age, gender, and anesthetic modality were not significantly related to nerve injury.

Conclusion:

Patients with preoperative pathology like pericoronitis have more chances of temporary nerve injury after removal. Preoperative counseling about possible nerve damage shall be done.

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Published

2021-06-30

How to Cite

Muhammad Israr, Nigam Sattar, Muhammad Irfan, Muslim Khan, & Sadiq Rehman. (2021). INFERIOR ALVEOLAR NERVE DEFICIT AFTER REMOVAL OF LOWER THIRD MOLARS-FREQUENCY AND FACTORS AFFECTING NERVE DAMAGE IN PROSPECTIVE CLINICAL STUDY OF 1487 EXTRACTIONS IN 1185 PATIENTS. JOURNAL OF KHYBER COLLEGE OF DENTISTRY, 11(02), 59–65. https://doi.org/10.33279/jkcd.v11i02.148

Issue

Vol. 11 No. 02 (2021): Journal of Khyber College of Dentistry

Section

Original Article

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Copyright (c) 2021 Muhammad Israr, Nigam Sattar, Muhammad Irfan, Muslim Khan, Sadiq Rehman

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