Al-Sabbagh Mohanad, Okeson Jeffrey P, Bertoli Elizangela, Medynski Denielle C, Khalaf Mohd W
Division of Periodontology, Department of Oral Health Practice, University of Kentucky, College of Dentistry, 800 Rose Street, Lexington, KY 40536, USA.
Department of Oral Health Science, College of Dentistry, University of Kentucky, 800 Rose Street, Lexington, KY 40536, USA.
Dent Clin North Am. 2015 Jan;59(1):143-56. doi: 10.1016/j.cden.2014.08.005. Epub 2014 Sep 22.
Nerve trauma caused by dental implant placement is associated with altered sensation and chronic pain. Complete or partial loss of sensation is often reported by patients who have experienced nerve trauma during implant surgery. Some patients report persistent pain and neurosurgery disturbance long after the normal healing time has passed. In addition, neuropathic pain is reported after implant surgery. Practitioners who place dental implants must be familiar with the differential diagnosis, prevention, and management of neuropathic pain. This article provides insights into the prevention and management of neurosensory deficits and chronic persistent neuropathic pain and considerations for patient referral.
种植牙植入导致的神经损伤与感觉改变和慢性疼痛有关。经历过种植手术中神经损伤的患者常报告感觉完全或部分丧失。一些患者在正常愈合时间过去很久后仍报告持续疼痛和神经外科干扰。此外,种植手术后也有神经性疼痛的报告。进行种植牙植入的从业者必须熟悉神经性疼痛的鉴别诊断、预防和管理。本文提供了关于神经感觉缺陷和慢性持续性神经性疼痛的预防与管理的见解以及患者转诊的注意事项。