[New strategies to prevent and control nerve dysfunction after dental extraction]
1Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University & State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Chengdu610041, China.
Summary
Post-dental extraction nerve dysfunction affects quality of life. This review covers causes, prevention, recovery, and new treatments for inferior alveolar nerve and other nerve injuries after dental surgery.
Area of Science:
- Oral Surgery
- Neurology
- Regenerative Medicine
Background:
- Nerve dysfunction is a frequent complication following dental extractions, impacting patient well-being and potentially leading to legal issues.
- Key nerves affected include the inferior alveolar, lingual, buccal, chin, and nasopalatine nerves, with dysfunction significantly diminishing quality of life.
Purpose of the Study:
- To comprehensively review clinical manifestations, pathological mechanisms, risk factors, and prevention strategies for post-dental extraction nerve dysfunction.
- To analyze the characteristics and mechanisms of spontaneous sensory recovery after nerve injury.
- To summarize recent advancements in therapeutic tools and future research directions for treating dental extraction-related nerve dysfunction.
Main Methods:
- Literature review synthesizing information on clinical presentations, underlying pathology, and risk factors.
- Analysis of studies focusing on natural sensory recovery processes and physiological mechanisms.
- Compilation of recent research on cutting-edge treatments and emerging therapeutic technologies.
Main Results:
- Nerve dysfunction presents with varied clinical symptoms and pathological changes, influenced by factors like surgical technique and nerve proximity.
- Preventive strategies involve meticulous surgical planning and execution to minimize nerve trauma.
- Spontaneous sensory recovery exhibits diverse timelines and outcomes, influenced by the extent of nerve damage.
Conclusions:
- Understanding the pathogenesis and risk factors is crucial for effective prevention of nerve dysfunction after dental extractions.
- Emerging therapies offer promising avenues for improving outcomes in patients experiencing nerve injury.
- This review provides a comprehensive reference for oral surgeons to manage and treat nerve dysfunction complications.
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