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Nerve injuries after third molar removal.

Vincent B Ziccardi1, John R Zuniga

  • 1Department of Oral and Maxillofacial Surgery, University of Medicine and Dentistry of New Jersey, 110 Bergen Street, Room B-854, Newark, NJ 07103-2400, USA. ziccarvb@umdnj.edu

Oral and Maxillofacial Surgery Clinics of North America
|December 20, 2007
PubMed
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Trigeminal nerve injuries can occur during third molar surgery. This review covers diagnosis, microsurgical management, and outcomes for these nerve injuries.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Neurosurgery
  • Dental Anesthesia

Background:

  • Third molar removal is a common dental procedure.
  • Trigeminal nerve injury is a potential complication, affecting sensation and function.
  • Accurate diagnosis and management are crucial for patient recovery.

Purpose of the Study:

  • To provide a comprehensive review of trigeminal nerve injuries following third molar surgery.
  • To outline diagnostic and assessment strategies.
  • To discuss microsurgical management and outcome evaluation.

Main Methods:

  • Literature review of studies on trigeminal nerve injuries post-third molar extraction.
  • Analysis of diagnostic techniques and classification systems.
  • Examination of microsurgical repair methods and prognostic factors.

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Main Results:

  • Trigeminal nerve injuries present with varying degrees of sensory disturbance.
  • Early diagnosis and appropriate classification guide treatment decisions.
  • Microsurgical interventions show potential for functional recovery.

Conclusions:

  • Effective management of trigeminal nerve injuries requires a systematic approach.
  • Microsurgical techniques are vital for addressing these iatrogenic injuries.
  • Further research on long-term outcomes and standardized protocols is warranted.