Simplifying the assessment of the recovery from surgical injury to the lingual nerve.

Abstract:

OBJECTIVE:To determine the sensitivity of conventional sensory assessment in monitoring lingual nerve recovery subsequent to third molar surgery and to evaluate if the assessment methods can be predictive of injury outcome. METHOD:A prospective case series of 94 patients presenting with lingual nerve injuries evaluated using objective mechanosensory and subjective methods during the recovery period of up to 12 months. RESULTS:The conventional tests were often unable to diagnose the presence of injury due to variability and they were not predictive of outcome. As a result of this study, we are able to identify patients more likely to have permanent rather than temporary lingual nerve injury at four to eight weeks post injury, using patient reported subjective function. The subjective function test also minimises the requirements for specialist training or equipment providing an ideal method for general dental practice. CONCLUSIONS:The development of these simple subjective tests may enable us to identify which patients are at risk of permanent lingual nerve injuries in the early post injury phase, thus allowing expeditious therapy when indicated.

journal_name

Br Dent J

journal_title

British dental journal

authors

Renton T,Thexton A,Crean SJ,Hankins M

doi

10.1038/sj.bdj.4813584

subject

Has Abstract

pub_date

2006-05-27 00:00:00

pages

569-73; discussion 565

issue

10

eissn

0007-0610

issn

1476-5373

pii

4813584

journal_volume

200

pub_type

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