Department of Maxillofacial Surgery, University College Hospital, Eastman Dental Institute, London, United Kingdom.
Int J Prosthodont. 2013 Mar-Apr;26(2):125-6. doi: 10.11607/ijp.3191.
This report presents a case history of intractable facial pain following the placement of a posterior mandibular implant. The pain was resistant to all medical management, but a cone beam computed tomography (CBCT) scan showed that the implant impinged on an unusual accessory inferior alveolar nerve. The decision to remove the implant led to significant pain reduction. This clinical example underscores the need for scrupulous imaging prior to implant placement.
本报告介绍了一例下颌后牙种植后出现难治性面部疼痛的病例。疼痛对所有药物治疗均无反应,但锥形束 CT(CBCT)扫描显示种植体压迫了不常见的副下牙槽神经。决定取出种植体后,疼痛显著减轻。这个临床案例强调了在进行种植术前进行仔细影像学检查的必要性。