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Incidence of Neurosensory Disturbance and Success Rates of Solid-Screw Implants Placed in Conjunction with Inferior Alveolar Nerve Transposition
BACKGROUND: Implant-supported prosthetic rehabilitation of a severely atrophic posterior mandibular alveolar ridge is a real challenge. Implant placement in such situations is very difficult and implies the risk of inferior alveolar nerve (IAN) damage. PURPOSE: The purpose of this study is to evalua...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7433969/ https://www.ncbi.nlm.nih.gov/pubmed/32855920 http://dx.doi.org/10.4103/ams.ams_160_19 |
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author | Al-Almaie, Saad Kavarodi, Abdul Majeed Al Faidhi, Abdullah Alorf, Ali Alzahrani, Saeed A. |
author_facet | Al-Almaie, Saad Kavarodi, Abdul Majeed Al Faidhi, Abdullah Alorf, Ali Alzahrani, Saeed A. |
author_sort | Al-Almaie, Saad |
collection | PubMed |
description | BACKGROUND: Implant-supported prosthetic rehabilitation of a severely atrophic posterior mandibular alveolar ridge is a real challenge. Implant placement in such situations is very difficult and implies the risk of inferior alveolar nerve (IAN) damage. PURPOSE: The purpose of this study is to evaluate the incidence of neurosensory disturbance and the cumulative survival of dental implants placed after the IAN transposition (IANT) procedures followed by dental implants placement. MATERIALS AND METHODS: Twenty International Team for Implantology implants were placed in eight patients following unilateral IANT. In two patients, nerve transposition was performed bilaterally, and hence, a total of 10 IAN transposition surgeries were performed. Neurosensory dysfunction was objectively evaluated by using light touch test (LT), pain test (PT), and 2-point discrimination test (2-DT). In addition, patients were asked to answer a short questionnaire to investigate the individual feeling of discomfort and advantages related to this surgical technique. The mean follow-up periods were 47.1 months (range 12–78 months). RESULTS: Neurosensory disturbance (i.e., disturbance registered by the LT, PT, and 2-DT tests) was experienced in 2 of 10 cases. The cumulative implant survival was 100%. However, at the time of data analysis (12–79 months after surgery), all patients indicated that they would go through the surgery again. CONCLUSION: IANT can permit the placement of implants with adequate length and good initial stabilization as used in routine sites, with the same favorable prognosis. All patients felt that they had received benefits from their new prostheses in terms of improved comfort, chewing efficiency, and esthetics. |
format | Online Article Text |
id | pubmed-7433969 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-74339692020-08-26 Incidence of Neurosensory Disturbance and Success Rates of Solid-Screw Implants Placed in Conjunction with Inferior Alveolar Nerve Transposition Al-Almaie, Saad Kavarodi, Abdul Majeed Al Faidhi, Abdullah Alorf, Ali Alzahrani, Saeed A. Ann Maxillofac Surg Original Article - Prospective Study BACKGROUND: Implant-supported prosthetic rehabilitation of a severely atrophic posterior mandibular alveolar ridge is a real challenge. Implant placement in such situations is very difficult and implies the risk of inferior alveolar nerve (IAN) damage. PURPOSE: The purpose of this study is to evaluate the incidence of neurosensory disturbance and the cumulative survival of dental implants placed after the IAN transposition (IANT) procedures followed by dental implants placement. MATERIALS AND METHODS: Twenty International Team for Implantology implants were placed in eight patients following unilateral IANT. In two patients, nerve transposition was performed bilaterally, and hence, a total of 10 IAN transposition surgeries were performed. Neurosensory dysfunction was objectively evaluated by using light touch test (LT), pain test (PT), and 2-point discrimination test (2-DT). In addition, patients were asked to answer a short questionnaire to investigate the individual feeling of discomfort and advantages related to this surgical technique. The mean follow-up periods were 47.1 months (range 12–78 months). RESULTS: Neurosensory disturbance (i.e., disturbance registered by the LT, PT, and 2-DT tests) was experienced in 2 of 10 cases. The cumulative implant survival was 100%. However, at the time of data analysis (12–79 months after surgery), all patients indicated that they would go through the surgery again. CONCLUSION: IANT can permit the placement of implants with adequate length and good initial stabilization as used in routine sites, with the same favorable prognosis. All patients felt that they had received benefits from their new prostheses in terms of improved comfort, chewing efficiency, and esthetics. Wolters Kluwer - Medknow 2020 2020-06-08 /pmc/articles/PMC7433969/ /pubmed/32855920 http://dx.doi.org/10.4103/ams.ams_160_19 Text en Copyright: © 2020 Annals of Maxillofacial Surgery http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article - Prospective Study Al-Almaie, Saad Kavarodi, Abdul Majeed Al Faidhi, Abdullah Alorf, Ali Alzahrani, Saeed A. Incidence of Neurosensory Disturbance and Success Rates of Solid-Screw Implants Placed in Conjunction with Inferior Alveolar Nerve Transposition |
title | Incidence of Neurosensory Disturbance and Success Rates of Solid-Screw Implants Placed in Conjunction with Inferior Alveolar Nerve Transposition |
title_full | Incidence of Neurosensory Disturbance and Success Rates of Solid-Screw Implants Placed in Conjunction with Inferior Alveolar Nerve Transposition |
title_fullStr | Incidence of Neurosensory Disturbance and Success Rates of Solid-Screw Implants Placed in Conjunction with Inferior Alveolar Nerve Transposition |
title_full_unstemmed | Incidence of Neurosensory Disturbance and Success Rates of Solid-Screw Implants Placed in Conjunction with Inferior Alveolar Nerve Transposition |
title_short | Incidence of Neurosensory Disturbance and Success Rates of Solid-Screw Implants Placed in Conjunction with Inferior Alveolar Nerve Transposition |
title_sort | incidence of neurosensory disturbance and success rates of solid-screw implants placed in conjunction with inferior alveolar nerve transposition |
topic | Original Article - Prospective Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7433969/ https://www.ncbi.nlm.nih.gov/pubmed/32855920 http://dx.doi.org/10.4103/ams.ams_160_19 |
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