Damage to the Inferior Alveolar Nerve During Tooth Extraction

Shomurodov Kahramon Erkinovich

Shomurodov Kahramon Erkinovich Tashkent State Dental Institute

Keywords: orthoextrusion, coronectomy, third molars, inferior alveolar nerve, nerve injury

Abstract

This article focuses on inferior alveolar nerve injury during tooth extraction. The study was conducted from September 2021 to September 2023. Forty five patients were included in the study and divided into three groups. Group I (test group) consisted of 15 patients who underwent coronectomy. Group II (test group) consisted of 15 patients who underwent complete tooth extraction with prior orthoextrusion. Group III (control group) consisted of patients who underwent complete extraction of the third lower molar. Based on the analysis, coronectomy and two-stage extraction with orthoextrusion of intact third lower molars with close root location to the mandibular canal allows avoiding not only intraoperative but also postoperative complications.

References

1. Frenkel B, Givol N, Shoshani Y. Коронэктомия третьего моляра нижней челюсти: ретроспективное исследование 185 процедур и решение повторить коронэктомию в случае неудачи. J Oral Maxillofac Surg 2015;73:587-94.
2. Kalmin O. V., Ilyunina O. O., Ziulkina L. A., Kapralova G. A., Koretskaya E. A. Morphological Features of the Incisive Canal in Patients of the First Adult Age // La Prensa Medica Argentina. 2019. Vol. 105, № 9. P. 538–545.
3. Егоров К. А., Гришин С. В., Коротков К. А. Анатомо-топографические особенности нижнечелюстного канала // Электронный научно-образовательный вестник «Здоровье и образование в XXI веке». 2007. № 7. C. 257.
4. Хобкек Д. А., Уотсон Р. М., Сизн Л. Дж. Дж. Руководство по дентальной имплантологии : пер с англ. 2-е изд. М. : МЕДпресс-информ, 2010. 224 с.
5. Juodzbalys G. I., Wang H. L., Sabalys G., Sidlauskas A., Galindo- Moreno P. Inferior alveolar nerve injury associated with implant surgery // Clin. Oral Implants Res. 2013. Vol. 24, № 2. P. 183–190.
6. Tay A. B., Zuniga J. R. Clinical characteristics of trigeminal nerve injury referrals to a university centre // Int J Oral Maxillofac Surg. 2007. Vol. 36. Р. 922–927.
7. Abdullaev Sh.Yu., Shomurodov К.Е.Sovremennye aspekty patogeneticheskoj terapii u bol’nyh s gnojno-vospalitel’nymi zabolevaniyami chelyustno-licevoj oblasti [Modem aspects ofpathogenetic therapy in patients with purulent-inflammatory diseases of the maxillofacial region //Мед. журн. Узбекистана. – 2010. – №3. – С. 82-86.
8. Askarov М.А., Shomuridov К.Е., Coronectomy of the lower jaw third molar as prevention of post-extraction damages of the lower alveolar nerve // Medicine and Innovations. – 2022. – №4. – P. 474-481
9. Dempf R., Hausamen J. E. Lesions of the inferior alveolar nerve arising from endodontic treatment // Aust Endod J. 2000. Vol. 26. № 2. P. 67–71. 7. Tilotta-Yasukava F., Milot S. E. L., Haddioui A., Bravetti P., Gaudy J. F., Labiomandibular paresthesia caused by endodontic treatment: an anatomic and clinical study // Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006. Vol. 102, № 4. P. 47–59.
10. Tufekcioglu S., Delilbasi C., Gurler G., Dilaver E., Ozer N. Is 2mm a safe distance from the inferior alveolar canal to avoid neurosensory complications in implant surgery // Nigerian J. of Clinical Practice. 2017. Vol. 20, № 3. P. 274–277.