Permanent Sensory Nerve Impairment Following Third Molar Surgery: a Prospective Study

Overview

Journal Oral Surg Oral Med Oral Pathol Oral Radiol Endod

Publisher Elsevier

Specialties Dentistry
General Surgery

Date 2006 Sep 26

PMID 16997083

Citations 37

Authors

W Jerjes

B Swinson

D R Moles

M El-Maaytah

B Banu

T Upile

M Kumar

M Al Khawalde

M Vourvachis

H Hadi

S Kumar

C Hopper

Affiliations

Soon will be listed here.

Abstract

Objective: This prospective study reports the proportion of permanent sensory impairment of the inferior alveolar and lingual nerves and the factors influencing such prevalence after the removal of mandibular third molars under local anesthesia.

Study Design: There were 1,087 patients with 1,087 mandibular third molars removed under local anesthesia from 1998 to 2003. Standardized data collection included the patient's name, age, gender, radiographic position of extracted tooth, grade of surgeon, proximity of the inferior alveolar nerve, and the prevalence of lingual and/or inferior alveolar nerve paresthesia.

Results: Inferior alveolar nerve injury was 4.1% 1 week after surgery and decreased to 0.7% after 2 years of follow-up, and alteration in tongue sensation occurred in 6.5% of patients 1 week after surgery and decreased to 1.0% after 2 years of follow-up.

Conclusion: The experience of the operator was found to be a significant factor in determining both permanent lingual nerve (P=.022) and permanent inferior alveolar nerve paresthesia (P=.026).

Citing Articles

Panoramic radiographic features for machine learning based detection of mandibular third molar root and inferior alveolar canal contact.

Ulusoy A, Toprak T, Selver M, Guneri P, Ilhan B Sci Rep. 2025; 15(1):4178.

PMID: 39905034 PMC: 11794476. DOI: 10.1038/s41598-024-82915-5.

Treatment decision for impacted mandibular third molars: Effects of cone-beam computed tomography and level of surgeons' experience.

Adali E, Ozden Yuce M, Isik G, Sener E, Mert A PLoS One. 2024; 19(12):e0314883.

PMID: 39637068 PMC: 11620579. DOI: 10.1371/journal.pone.0314883.

Factors influencing inferior alveolar nerve injury after extraction of mandibular third molar.

He H, Ruan N Med Oral Patol Oral Cir Bucal. 2024; 29(5):e613-e619.

PMID: 39088718 PMC: 11365058. DOI: 10.4317/medoral.26576.

Is 3T MR nerve-bone fusion imaging a viable alternative to MRI-CBCT to identify the relationship between the inferior alveolar nerve and mandibular third molar.

Huang H, Yan Y, Jiang D, Zhao X, Cao D, She D Clin Oral Investig. 2024; 28(5):256.

PMID: 38630324 DOI: 10.1007/s00784-024-05649-8.

Imaging in Third Molar Surgery: A Clinical Update.

Al-Haj Husain A, Stadlinger B, Winklhofer S, Bosshard F, Schmidt V, Valdec S J Clin Med. 2023; 12(24).

PMID: 38137758 PMC: 10744030. DOI: 10.3390/jcm12247688.