지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.12
- 수록면
- 133 - 139 (7page)
이용수
초록· 키워드
오류제보하기
Purpose: There have been reports regarding the various factors associated with the level of discomfort and recovery from neurosensory symptoms in patients with trigeminal nerve injury. However, the contributing factors remain uncertain and poorly understood. The purpose of this paper was to investigate the possible association between various factors expected to affect neurosensory discomfort and recovery in patients with mandibular nerve injury after dental implant surgery.
Methods: Eighty-nine post-dental implant surgery patients with mandibular nerve injury were enrolled in this retrospective analysis. A medical records review of the patients was done to determine if the patients’ improvement was related to pain intensity, the length of time between the injury and removal of the implant or the depth of penetration of the implant into the mandibular canal as determined by cone-beam computed tomography.
Results: There was no significant linear relationship between pain intensity and symptomatic improvement (p=0.319). There was no significant linear relationship between the level of mandibular canal penetration and either pain intensity (p=0.588) or symptomatic improvement (p=0.760). There was a statistically significant linear relationship between length of time before the injury was treated, both with pain intensity (p=0.004), and symptomatic improvement (p=0.024).
Conclusions: Our findings indicate that the length of time between nerve injury and initiation of conservative treatment is more closely related to the pain intensity and symptomatic improvement than other factors, including the level of mandibular canal invasion. Additionally, increased pain intensity and decreased symptomatic improvement can be expected over time, because of this linear trend. Therefore, although direct injury to the nerve is the most important factor contributing to a neurosensory disturbances, early neurosensory assessment and initiation of conservative treatment should be done to optimize recovery.
Methods: Eighty-nine post-dental implant surgery patients with mandibular nerve injury were enrolled in this retrospective analysis. A medical records review of the patients was done to determine if the patients’ improvement was related to pain intensity, the length of time between the injury and removal of the implant or the depth of penetration of the implant into the mandibular canal as determined by cone-beam computed tomography.
Results: There was no significant linear relationship between pain intensity and symptomatic improvement (p=0.319). There was no significant linear relationship between the level of mandibular canal penetration and either pain intensity (p=0.588) or symptomatic improvement (p=0.760). There was a statistically significant linear relationship between length of time before the injury was treated, both with pain intensity (p=0.004), and symptomatic improvement (p=0.024).
Conclusions: Our findings indicate that the length of time between nerve injury and initiation of conservative treatment is more closely related to the pain intensity and symptomatic improvement than other factors, including the level of mandibular canal invasion. Additionally, increased pain intensity and decreased symptomatic improvement can be expected over time, because of this linear trend. Therefore, although direct injury to the nerve is the most important factor contributing to a neurosensory disturbances, early neurosensory assessment and initiation of conservative treatment should be done to optimize recovery.
목차
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (27)
참고문헌 신청
1. [학술지(정기간행물)] - Bartling R / 1999 / The incidence of altered sensation of the mental nerve after mandibular implant placement / J Oral Maxillofac Surg 57 : 1408 ~ 1412
2. [학술지(정기간행물)] - Burstein J / 2008 / Avoiding injury to the inferior alveolar nerve by routine use of intraoperative radiographs during implant placement / J Oral Implantol 34 : 34 ~ 38
3. [학술지(정기간행물)] - van Steenberghe D / 1990 / Applicability of osseointegrated oral implants in the rehabilitation of partial edentulism : a prospective multicenter study on 558 fixtures / Int J Oral Maxillofac Implants 5 : 272 ~ 281
4. [학술지(정기간행물)] - Delcanho RE / 1995 / Neuropathic implications of prosthodontic treatment / J Prosthet Dent 73 : 146 ~ 152
5. [학술지(정기간행물)] - Anderson LC / 1991 / A review of the intraosseous course of the nerves of the mandible / J Oral Implantol 17 : 394 ~ 403
2. [학술지(정기간행물)] - Burstein J / 2008 / Avoiding injury to the inferior alveolar nerve by routine use of intraoperative radiographs during implant placement / J Oral Implantol 34 : 34 ~ 38
3. [학술지(정기간행물)] - van Steenberghe D / 1990 / Applicability of osseointegrated oral implants in the rehabilitation of partial edentulism : a prospective multicenter study on 558 fixtures / Int J Oral Maxillofac Implants 5 : 272 ~ 281
4. [학술지(정기간행물)] - Delcanho RE / 1995 / Neuropathic implications of prosthodontic treatment / J Prosthet Dent 73 : 146 ~ 152
5. [학술지(정기간행물)] - Anderson LC / 1991 / A review of the intraosseous course of the nerves of the mandible / J Oral Implantol 17 : 394 ~ 403
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UCI(KEPA) : I410-ECN-0101-2016-515-001113403