Alsaegh Mohammed A, Fayyad Elyazia, Jalal Farah, Mulhem Hana, Qasho Manar, Mohannad Nour, Moughrabel Wissam
Department of Oral and Craniofacial Health Sciences, College of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates.
Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.
Front Oral Health. 2024 Dec 2;5:1509998. doi: 10.3389/froh.2024.1509998. eCollection 2024.
The removal of lower third molars is one of the most common surgical procedures in routine dental practice. However, perforation of the mandibular third molars by the inferior alveolar nerve (IAN) is a rare occurrence. These cases are considered to carry a heightened risk of IAN injury due to the nerve being entrapped within the tooth. This case report details the experience of a 43-year-old female who visited the clinic for surgical removal of her lower third molar. She reported a six-month history of pain in area of tooth number 38, along with persistent hypersensitivity radiating through the lower lip and chin on the left side of her face, accompanied by abnormal sensations and numbness occurring alongside the pain. The case includes entrapment of IAN within the root of the partially erupted tooth, causing neurosensory disturbances. The associated lower third molar was extracted using a stepwise multi-stage resection technique in order to preserve the entrapped nerve. The patient's pain improved after surgery. This report contributes to current clinical knowledge and practices for extracting teeth with IAN entrapment. It addresses a gap in the limited and outdated literature on such cases.
下颌第三磨牙拔除术是常规牙科实践中最常见的外科手术之一。然而，下牙槽神经（IAN）穿破下颌第三磨牙的情况较为罕见。由于神经被困于牙齿内，这些病例被认为IAN损伤风险较高。本病例报告详细介绍了一名43岁女性到诊所进行下颌第三磨牙拔除术的经历。她自述38号牙区域疼痛已有6个月，同时左侧面部下唇和下巴持续出现过敏反应，并伴有疼痛时的异常感觉和麻木感。该病例包括IAN被困于部分萌出牙齿的牙根内，导致神经感觉障碍。为了保留被困神经，采用逐步多阶段切除技术拔除了相关的下颌第三磨牙。术后患者疼痛有所改善。本报告为当前关于IAN被困时拔牙的临床知识和实践做出了贡献。它填补了此类病例有限且过时的文献中的空白。
