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骨内种植体植入联合下牙槽神经移位:神经感觉障碍的评估

Endosseous implant placement in conjunction with inferior alveolar nerve transposition: an evaluation of neurosensory disturbance.

作者信息

Kan J Y, Lozada J L, Goodacre C J, Davis W H, Hanisch O

机构信息

Center for Prosthodontics and Implant Dentistry, Loma Linda University, School of Dentistry, California 92350, USA.

出版信息

Int J Oral Maxillofac Implants. 1997 Jul-Aug;12(4):463-71.

PMID:9274075
Abstract

This retrospective study evaluated neurosensory dysfunction and the implant success rate associated with 64 implants placed in 15 patients following transposition of the inferior alveolar nerve. A total of 21 inferior alveolar nerve mobilization surgeries were performed. The mean postoperative follow-up time was 41.3 months, with a range of 10 to 67 months. The effects of surgical technique and implant surface geometry on neurosensory dysfunction were evaluated by using light touch, brush stroke direction, and two-point discrimination. The implant success rate was 93.8% (60/64). The surgical technique that involved detaching the mental foramen resulted in a significantly greater incidence of neurosensory disturbance (77.8%, 7/9) than did the technique that left the bony foramen intact (33.3%, 4/12). The overall incidence of neurosensory disturbance was 52.4% (11/21).

摘要

这项回顾性研究评估了15例患者在下牙槽神经移位后植入的64颗种植体相关的神经感觉功能障碍和种植体成功率。共进行了21例下牙槽神经松动手术。术后平均随访时间为41.3个月,范围为10至67个月。通过轻触、笔触方向和两点辨别法评估手术技术和种植体表面几何形状对神经感觉功能障碍的影响。种植体成功率为93.8%(60/64)。涉及分离颏孔的手术技术导致神经感觉障碍的发生率(77.8%,7/9)明显高于保留骨孔完整的技术(33.3%,4/12)。神经感觉障碍的总体发生率为52.4%(11/21)。

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