Oral Medicine, Oral Surgery and Implantology.
Acta Odontol Scand. 2014 Apr;72(3):161-7. doi: 10.3109/00016357.2013.812746. Epub 2013 Jul 4.
Oral nerve injuries are a less frequent complication but they involve a decrease in the patient life quality. The purpose of the current review is to know the described risk factors to prevent injuries and to know the therapies against an established injury.
A Pubmed search of the English and Spanish language literature from 2000-2012 using the keywords 'oral surgery' or 'trigeminal nerve injuries' or 'lingual nerve injuries' or 'mandibular nerve injuries' was performed. Review articles were included and important articles from the references were added.
A total of 662 were obtained from the search, from which 25 were selected accomplishing the inclusion criteria. Moreover, seven important articles were selected from the references of the ones mentioned, obtaining a total of 32 articles for the review.
There is a relationship between the position of the extracted tooth and the incidence of the inferior alveolar nerve and lingual nerve injuries; as well as the age of the patient, the intra-operatory exposition of the nerve, the technique access for the lower third molar extraction and the surgeon's inexperience. The radiological examination is useful to evaluate the nerve damage and to decide on the surgical technique.
口腔神经损伤是一种不太常见的并发症，但会降低患者的生活质量。本综述旨在了解已报道的风险因素以预防损伤，并了解针对已发生损伤的治疗方法。
使用“口腔外科”或“三叉神经损伤”或“舌神经损伤”或“下颌神经损伤”等关键词，对 2000 年至 2012 年的英文和西班牙文文献进行了 Pubmed 检索。纳入综述文章，并添加了参考文献中重要文章的内容。
共检索到 662 篇文章，其中 25 篇符合纳入标准。此外，还从提到的文章的参考文献中选择了 7 篇重要文章，共 32 篇文章进行综述。
拔牙位置与下牙槽神经和舌神经损伤的发生率之间存在关联；此外，还与患者年龄、术中神经暴露、低位第三磨牙拔除的手术入路以及外科医生的经验不足有关。放射学检查有助于评估神经损伤并决定手术技术。
