Neurological Complications following Surgical Treatments of the Lower Molars

Aim. The current review aims to explore postoperative neurological complications in third molar extractive surgery. Materials and Methods. The PRISMA protocols were followed when conducting this review. We found a total of 2,250 articles that matched our topic using the Boolean keywords, mandibular...

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Main Authors: Antonio Mancini, Angelo Michele Inchingolo, Marco Di Blasio, Elisabetta de Ruvo, Angela Di Noia, Laura Ferrante, Gaetano Del Vecchio, Andrea Palermo, Francesco Inchingolo, Alessio Danilo Inchingolo, Gianna Dipalma
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2024/5415597
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author Antonio Mancini
Angelo Michele Inchingolo
Marco Di Blasio
Elisabetta de Ruvo
Angela Di Noia
Laura Ferrante
Gaetano Del Vecchio
Andrea Palermo
Francesco Inchingolo
Alessio Danilo Inchingolo
Gianna Dipalma
author_facet Antonio Mancini
Angelo Michele Inchingolo
Marco Di Blasio
Elisabetta de Ruvo
Angela Di Noia
Laura Ferrante
Gaetano Del Vecchio
Andrea Palermo
Francesco Inchingolo
Alessio Danilo Inchingolo
Gianna Dipalma
author_sort Antonio Mancini
collection DOAJ
description Aim. The current review aims to explore postoperative neurological complications in third molar extractive surgery. Materials and Methods. The PRISMA protocols were followed when conducting this review. We found a total of 2,250 articles that matched our topic using the Boolean keywords, mandibular nerve complications AND oral surgery, from PubMed (1,083), Scopus (435), and Web of Science (732), with the filters of English language articles, time range January 1, 2003, to September 30, 2023, and human studies. After 762 duplicates were eliminated, there remained 1,488 articles. Eleven final articles were deemed of the highest relevance to our topic by eliminating articles in animals, non-English language, reviews, meta-analysis, and off-topic. A potential risk in the third molar extraction was temporary loss of sensibility often caused by mild compression or irritation of the mandibular nerve. This typically resolves within weeks or months, but in severe cases, recovery might take longer. Permanent loss of sensation can occur, indicating significant nerve damage and lasting effects on touch, temperature, or pain perception. Conclusions. Various treatments exist for nerve damage, including low-level laser therapy, pain management medications, or physical therapy. While these therapies may improve neurosensory impairment, patients often report a decline in their quality of life.
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spelling doaj-art-f2d90037c87d46ed88999222ec82e9e12025-02-03T00:20:18ZengWileyInternational Journal of Dentistry1687-87362024-01-01202410.1155/2024/5415597Neurological Complications following Surgical Treatments of the Lower MolarsAntonio Mancini0Angelo Michele Inchingolo1Marco Di Blasio2Elisabetta de Ruvo3Angela Di Noia4Laura Ferrante5Gaetano Del Vecchio6Andrea Palermo7Francesco Inchingolo8Alessio Danilo Inchingolo9Gianna Dipalma10Department of Interdisciplinary MedicineDepartment of Interdisciplinary MedicineDepartment of BiomedicalDepartment of Interdisciplinary MedicineDepartment of Interdisciplinary MedicineDepartment of Interdisciplinary MedicineDepartment of Interdisciplinary MedicineCollege of Medicine and DentistryDepartment of Interdisciplinary MedicineDepartment of Interdisciplinary MedicineDepartment of Interdisciplinary MedicineAim. The current review aims to explore postoperative neurological complications in third molar extractive surgery. Materials and Methods. The PRISMA protocols were followed when conducting this review. We found a total of 2,250 articles that matched our topic using the Boolean keywords, mandibular nerve complications AND oral surgery, from PubMed (1,083), Scopus (435), and Web of Science (732), with the filters of English language articles, time range January 1, 2003, to September 30, 2023, and human studies. After 762 duplicates were eliminated, there remained 1,488 articles. Eleven final articles were deemed of the highest relevance to our topic by eliminating articles in animals, non-English language, reviews, meta-analysis, and off-topic. A potential risk in the third molar extraction was temporary loss of sensibility often caused by mild compression or irritation of the mandibular nerve. This typically resolves within weeks or months, but in severe cases, recovery might take longer. Permanent loss of sensation can occur, indicating significant nerve damage and lasting effects on touch, temperature, or pain perception. Conclusions. Various treatments exist for nerve damage, including low-level laser therapy, pain management medications, or physical therapy. While these therapies may improve neurosensory impairment, patients often report a decline in their quality of life.http://dx.doi.org/10.1155/2024/5415597
spellingShingle Antonio Mancini
Angelo Michele Inchingolo
Marco Di Blasio
Elisabetta de Ruvo
Angela Di Noia
Laura Ferrante
Gaetano Del Vecchio
Andrea Palermo
Francesco Inchingolo
Alessio Danilo Inchingolo
Gianna Dipalma
Neurological Complications following Surgical Treatments of the Lower Molars
International Journal of Dentistry
title Neurological Complications following Surgical Treatments of the Lower Molars
title_full Neurological Complications following Surgical Treatments of the Lower Molars
title_fullStr Neurological Complications following Surgical Treatments of the Lower Molars
title_full_unstemmed Neurological Complications following Surgical Treatments of the Lower Molars
title_short Neurological Complications following Surgical Treatments of the Lower Molars
title_sort neurological complications following surgical treatments of the lower molars
url http://dx.doi.org/10.1155/2024/5415597
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