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Endoscopically-assisted extraction of broken roots or fragments within the mandibular canal: a retrospective case series study.
Jiang, Junqi; Chen, Kenan; Wang, Enbo; Duan, Denghui; Xu, Xiangliang.
Afiliación
  • Jiang J; Department of Oral and Maxillofacial Surgery, National Center of Stomatology and National Clinical Research Center for Oral Diseases and National Engineering Research Center of Oral Biomaterials and Digital Medical Devices and Beijing Key Laboratory of Digital Stomatology and Research Center of Engi
  • Chen K; Department of Oral and Maxillofacial Surgery, National Center of Stomatology and National Clinical Research Center for Oral Diseases and National Engineering Research Center of Oral Biomaterials and Digital Medical Devices and Beijing Key Laboratory of Digital Stomatology and Research Center of Engi
  • Wang E; Department of Oral and Maxillofacial Surgery, National Center of Stomatology and National Clinical Research Center for Oral Diseases and National Engineering Research Center of Oral Biomaterials and Digital Medical Devices and Beijing Key Laboratory of Digital Stomatology and Research Center of Engi
  • Duan D; Department of Oral and Maxillofacial Surgery, National Center of Stomatology and National Clinical Research Center for Oral Diseases and National Engineering Research Center of Oral Biomaterials and Digital Medical Devices and Beijing Key Laboratory of Digital Stomatology and Research Center of Engi
  • Xu X; Department of Oral and Maxillofacial Surgery, National Center of Stomatology and National Clinical Research Center for Oral Diseases and National Engineering Research Center of Oral Biomaterials and Digital Medical Devices and Beijing Key Laboratory of Digital Stomatology and Research Center of Engi
BMC Oral Health ; 24(1): 456, 2024 Apr 15.
Article en En | MEDLINE | ID: mdl-38622566
ABSTRACT

PURPOSE:

To assess the impact of endoscope-assisted fractured roots or fragments extraction within the mandibular canal, along with quantitative sensory testing (QST) alterations in the inferior alveolar nerve (IAN).

METHODS:

Six patients with lower lip numbness following mandibular third molar extraction were selected. All patients had broken roots or fragments within the mandibular canal that were extracted under real-time endoscopic assistance. Follow-up assessments were conducted on postoperative days 1, 7, and 35, including a standardized QST of the lower lip skin.

RESULTS:

The average surgical duration was 32.5 min, with the IAN exposed in all cases. Two of the patient exhibited complete recovery of lower lip numbness, three experienced symptom improvement, and one patient remained unaffected 35 days after the surgery. Preoperative QST results showed that the mechanical detection and pain thresholds on the affected side were significantly higher than those on the healthy side, but improved significantly by postoperative day 7 in five patients, and returned to baseline in two patients on day 35. There were no significant differences in the remaining QST parameters.

CONCLUSIONS:

All endoscopic surgical procedures were successfully completed without any additional postoperative complications. There were no cases of deterioration of IAN injury, and lower lip numbness recovered in the majority of cases. Endoscopy allowed direct visualization and examination of the affected nerve, facilitating a comprehensive analysis of the IAN.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diente Impactado / Traumatismos del Nervio Trigémino Límite: Humans Idioma: En Revista: BMC Oral Health Asunto de la revista: ODONTOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diente Impactado / Traumatismos del Nervio Trigémino Límite: Humans Idioma: En Revista: BMC Oral Health Asunto de la revista: ODONTOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido