When the lower alveolar nerve is affected by any mechanical, iatrogenic, neoplastic or inflammatory process, we can clinically see the appearance of typical trigeminal symptoms, together with typical radiological changes of the mandibular canal, consisting in widespread hypodensity, increase in diameter and disappearINDIRECT POST-IMPLANT LESIONS OF THE INFERIOR ALVEOLAR NERVE. RADIOLOGICAL AND ...

ed from: Ghaeminia H, Gerlach NL, Hoppenreijs TJ, et al. Clinical relevance of cone beam computed tomography in mandibular third molar removal: A multicentre, randomised, controlled trial. J Craniomaxillofac Surg 2015; 43(10):2158-67. DOI: 10.1016/j.jcms.2015.10.009. Question: Does pre-operative use of cone beam computed tomography compared with panoramic radiography reduce the risk of inferior...

Fifty-four injection injuries in 52 patients were caused by mandibular block analgesia affecting the lingual nerve (n=42) and/or the inferior alveolar nerve (n=12). All patients were examined with a standardized test of neurosensory functions. The perception of the following stimuli was assessed: feather light touch, pinprick, sharp/dull discrimination, warm, cold, point location, brush stroke ...

The extraction of impacted mandibular third molars has long been associated with the dreaded and rarely, grave and irreversible complications. The oral and maxillofacial surgeons’ dogma strongly links most complications with the proximity of inferior alveolar canal and the impacted teeth, the relationship of which is still a topic of debate among surgeons. In this randomized, prospective case s...

AIM   To describe a case of endodontic sealer (AH Plus) penetration within the mandibular canal after root canal treatment with resolution of pain and paraesthesia after a non-surgical approach, including treatment with prednisone and pregabalin. SUMMARY   A 37-year-old woman underwent root canal treatment of the left mandibular second molar tooth. Postoperative periapical radiographs reveale...

BACKGROUND AND AIMS Inferior alveolar nerve block injection is one of the common intra oral anesthetic techniques, with a failure rate of 15-20%. The aim of this study was to evaluate the position of the lingula as an index for this injection. MATERIALS AND METHODS Thirty eight panoramic radiographs of 7-11 year old patients were analyzed and the distance between the lingula index and occlusa...

PURPOSE Damage to the inferior alveolar nerve when extracting lower third molars is often caused by the intimate relationship between the nerve and the roots of the teeth. The technique of coronectomy, or intentional root retention, may minimize this problem. PATIENTS AND METHODS Forty-one patients underwent coronectomy on 50 lower third molars with follow-up of at least 6 months. The techniq...

Schwannomas (neurilemmomas) are benign neoplasms derived from Schwann cells of the neurilemma and appear most frequently on the auditory nerve or peripheral nerves of the skin. They arise in the oral and maxillofacial region infrequently, and very rarely in the center of the jaw. We herein present a case of a rare mandibular intraosseous schwannoma derived from the main trunk of the inferior al...

The removal of impacted mandibular third molar is a common surgical procedure entailing some risk of complications, especially when the tooth and the inferior alveolar nerve and/or lingual cortical plate are in close proximity. A technique that can reduce the possibility of damage is the Ultra Sonic Bone Surgery. The aim of this report is to present a paradigmatic case of an impacted mandibular...