BACKGROUND Segmental mandibulectomy with bilateral inferior alveolar nerve (IAN) resection results in complete sensory loss in the lower lip and chin. The purpose of this study was for us to report on a bilateral IAN reconstruction with a vascularized nerve graft after chemoradiotherapy during cancer ablation. METHODS The mandible was reconstructed with a fibular osteocutaneous flap that incl...

Neurosensory disturbances of the inferior alveolar nerve (IAN), or the lingual nerve (LN), are commonly reported in cases of third mandibular molar impaction. Cases are usually documented by use of imagistic methods. Dissection proofs of the detailed anatomy in such cases are rare, if not absent. It is reported here a dissection study in a case of an impacted (buccoangular) third mandibular mol...

BACKGROUND One option for successful placement of dental implants in an atrophic posterior mandible without injury to the inferior alveolar nerve (IAN) is to transpose or lateralize the nerve. This procedure carries the risk of numbness along the distribution of the nerve, the complication that the procedure is undertaken to avoid in the first place. The purpose of the present study was to asse...

The standard surgical treatment for mandibular prognathism is sagittal split ramus osteotomy (SSRO) if the proximal and distal segments of the ramus require fixing with screws or metal plates. In this procedure, however, it is frequently difficult to avoid neurosensory disturbance (NSD) of the inferior alveolar nerve (IAN) when the posterior margin of the ramus curves inward or when the ramus i...

BACKGROUND Before extracting impacted lower third molars, dentists must first identify the spatial relationship between the inferior alveolar nerve (IAN) and an impacted lower third molar to prevent nerve injury from the extraction. Nevertheless, the current method for describing the spatial relationship between the IAN and an impacted lower third molar is deficient. Therefore, the objectives o...

INTRODUCTION The purpose of this prospective, randomized single-blind study was to evaluate the degree of pulpal anesthesia obtained with frequency-dependent conduction blockade of the inferior alveolar nerve (IAN). METHODS Eighty adult volunteers randomly received two IAN blocks: an IAN block followed by continuous electrical stimulation for 3 minutes of the first molar or lateral incisor fo...

Background Extraction of mandibular third molars (M3M) close to the inferior alveolar nerve (IAN) has a higher risk neurological disturbance. This review aims evaluate evidence supporting use coronectomy technique compared complete extraction for such M3Ms. Case studies by specialist oral and maxillofacial surgeon are included illustrate clinical practice. Methods Three databases (Cochrane Libr...

Abstract This study aimed to assess the effect of inferior alveolar nerve (IAN) block mandible and infiltration anesthesia maxilla using lidocaine plus epinephrine or prilocaine with felypressin anesthetic agents on systolic diastolic blood pressures, heart rate (HR) peripheral oxygen saturation patients. randomized double-blind clinical trial evaluated 112 patients in four groups (n=28) based ...

OBJECTIVE To prospectively evaluate the longitudinal subjective and objective outcomes of the microsurgical treatment of lingual nerve (LN) and inferior alveolar nerve (IAN) injury after third molar surgery. MATERIALS AND METHODS A 1-year longitudinal observational study was conducted on patients who received LN or IAN repair after third molar surgery-induced nerve injury. Subjective assessme...

OBJECTIVES The purpose of present article was to review aetiological factors, mechanism, clinical symptoms, and diagnostic methods as well as to create treatment guidelines for the management of inferior alveolar nerve injury during dental implant placement. MATERIAL AND METHODS Literature was selected through a search of PubMed, Embase and Cochrane electronic databases. The keywords used for...