与牙种植手术相关的创伤后三叉神经病理性疼痛

Posttraumatic Trigeminal Neuropathic Pain in Association with Dental Implant Surgery.

作者信息

Renton Tara, Van der Cruyssen Fréderic

机构信息

Department of Oral Surgery, King's College London Dental Institute, King's College London, 4th Floor Kings College Hospital, Bessemer Road, Denmark Hill, London SE5 9RS, United Kingdom.

Department of Oral & Maxillofacial Surgery, University Hospitals Leuven, Kapucijnenvoer 33, 3000, Leuven, Belgium; Department of Imaging and Pathology, OMFS-IMPATH Research Group, Faculty of Medicine, University Leuven, Leuven, Belgium.

出版信息

Dent Clin North Am. 2023 Jan;67(1):85-98. doi: 10.1016/j.cden.2022.07.007. Epub 2022 Oct 27.

DOI:10.1016/j.cden.2022.07.007

PMID:36404083

Abstract

Posttraumatic trigeminal neuropathy in association with dental implant surgery is preventable, and this should be the emphasis for all clinicians considering this treatment for a patient. Once the nerve injury and posttraumatic neuropathy with or without pain ensues, there is very little the clinician can do to reverse it and the high pain and permanency of the neuropathy will have a significant functional and psychological impact on the patient. Immediate implant removal is required, and home check should be routine for all cases. International diagnostic criteria are available and should be implemented in everyday practice.

摘要

与牙种植手术相关的创伤后三叉神经病变是可预防的，这应成为所有考虑为患者进行这种治疗的临床医生的重点。一旦发生神经损伤以及伴有或不伴有疼痛的创伤后神经病变，临床医生几乎无法逆转它，而神经病变的高度疼痛和持久性将对患者产生重大的功能和心理影响。需要立即取出种植体，对所有病例进行家庭检查应成为常规操作。国际诊断标准已经存在，应在日常实践中实施。