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拔除第三磨牙导致下牙槽神经和舌神经损伤的当前处理方法。

Current management of damage to the inferior alveolar and lingual nerves as a result of removal of third molars.

作者信息

Robinson Peter P, Loescher Alison R, Yates Julian M, Smith Keith G

机构信息

Department of Oral & Maxillofacial Surgery, School of Clinical Dentistry, University of Sheffield, Claremont Crescent, Sheffield S10 2TA, UK.

出版信息

Br J Oral Maxillofac Surg. 2004 Aug;42(4):285-92. doi: 10.1016/j.bjoms.2004.02.024.

Abstract

In this review we present algorithms to guide the clinical management of patients who sustain damage to the inferior alveolar or lingual nerves during the removal of lower third molars. Monitoring recovery using simple sensory testing allows those patients who may benefit from some form of intervention to be identified. There is good evidence that some surgical procedures produce worthwhile improvements in sensation but management of nerve injury-induced dysaesthesia remains problematic.

摘要

在本综述中,我们提出了一些算法,以指导在下颌第三磨牙拔除过程中损伤下牙槽神经或舌神经的患者的临床管理。使用简单的感觉测试监测恢复情况,可以识别出那些可能从某种形式的干预中获益的患者。有充分的证据表明,一些外科手术能在感觉方面产生有价值的改善,但神经损伤引起的感觉异常的管理仍然存在问题。

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