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

Objective:
 To determine the Frequency of inferior alveolar nerve injury and to assess relationship deficit with contributory risk factors like causes removal, patient’s age, anesthetic modality.
 Materials Methods:
 All procedures were carried out in Maroof International Hospital from January 2016 August 2020. About 1185 consecutive patients included study who treated over a period 5 years. A total 1487 surgical extractions performed. Surgery was done either under local anesthesia (72.1%) or IV sedation (27.9%). performed by same single senior consultant two nurses. Follow up at one, three, six weeks months.
 Results:
 Eight cases (0.53%) had temporary which settled within weeks. No permanent neurological damage observed. Cases pericoronitis significantly associated postoperative (p<0.001). Age, gender, modality not related injury.
 Conclusion:
 Patients preoperative pathology have more chances after removal. Preoperative counseling about possible shall be done.