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Mancini A, Inchingolo AM, Blasio MD, de Ruvo E, Noia AD, Ferrante L, Vecchio GD, Palermo A, Inchingolo F, Inchingolo AD, Dipalma G. Neurological Complications following Surgical Treatments of the Lower Molars. Int J Dent 2024; 2024:5415597. [PMID: 39286455 PMCID: PMC11405104 DOI: 10.1155/2024/5415597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2024] [Revised: 05/29/2024] [Accepted: 08/05/2024] [Indexed: 09/19/2024] Open
Abstract
Aim The current review aims to explore postoperative neurological complications in third molar extractive surgery. Materials and Methods The PRISMA protocols were followed when conducting this review. We found a total of 2,250 articles that matched our topic using the Boolean keywords, mandibular nerve complications AND oral surgery, from PubMed (1,083), Scopus (435), and Web of Science (732), with the filters of English language articles, time range January 1, 2003, to September 30, 2023, and human studies. After 762 duplicates were eliminated, there remained 1,488 articles. Eleven final articles were deemed of the highest relevance to our topic by eliminating articles in animals, non-English language, reviews, meta-analysis, and off-topic. A potential risk in the third molar extraction was temporary loss of sensibility often caused by mild compression or irritation of the mandibular nerve. This typically resolves within weeks or months, but in severe cases, recovery might take longer. Permanent loss of sensation can occur, indicating significant nerve damage and lasting effects on touch, temperature, or pain perception. Conclusions Various treatments exist for nerve damage, including low-level laser therapy, pain management medications, or physical therapy. While these therapies may improve neurosensory impairment, patients often report a decline in their quality of life.
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Affiliation(s)
- Antonio Mancini
- Department of Interdisciplinary Medicine School of Medicine University of Bari "Aldo Moro", Bari 70124, Italy
| | - Angelo Michele Inchingolo
- Department of Interdisciplinary Medicine School of Medicine University of Bari "Aldo Moro", Bari 70124, Italy
| | - Marco Di Blasio
- Department of Biomedical Surgical and Dental Sciences University of Milan, Milan, Italy
| | - Elisabetta de Ruvo
- Department of Interdisciplinary Medicine School of Medicine University of Bari "Aldo Moro", Bari 70124, Italy
| | - Angela Di Noia
- Department of Interdisciplinary Medicine School of Medicine University of Bari "Aldo Moro", Bari 70124, Italy
| | - Laura Ferrante
- Department of Interdisciplinary Medicine School of Medicine University of Bari "Aldo Moro", Bari 70124, Italy
| | - Gaetano Del Vecchio
- Department of Interdisciplinary Medicine School of Medicine University of Bari "Aldo Moro", Bari 70124, Italy
| | | | - Francesco Inchingolo
- Department of Interdisciplinary Medicine School of Medicine University of Bari "Aldo Moro", Bari 70124, Italy
| | - Alessio Danilo Inchingolo
- Department of Interdisciplinary Medicine School of Medicine University of Bari "Aldo Moro", Bari 70124, Italy
| | - Gianna Dipalma
- Department of Interdisciplinary Medicine School of Medicine University of Bari "Aldo Moro", Bari 70124, Italy
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Bifid Mandibular Canal: A Proportional Meta-Analysis of Computed Tomography Studies. Int J Dent 2023; 2023:9939076. [PMID: 36923560 PMCID: PMC10010879 DOI: 10.1155/2023/9939076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Revised: 01/20/2023] [Accepted: 02/08/2023] [Indexed: 03/08/2023] Open
Abstract
Introduction Growing body of evidences showed different grades in prevalence of bifid mandibular canals. Because the previous reviews focused solely on patient-level occurrence, hemi-mandible-level prevalence, bilateral symmetry, length, and diameter of bifid mandibular canals were required to be estimated collectively. The research question of this meta-analysis was "What is the prevalence of bifid mandibular canal among patients seeking computed tomography examinations"? Materials and Methods In vivo, computed tomography, and cross-sectional studies were eligible. Studies, with less than 100 subjects or anatomic site restriction or controlled class of bifid mandibular canal, were excluded. Joanna Briggs Institute (JBI) critical appraisal tool for prevalence studies was used to assess methodological quality of all included studies. Random effect meta-analyses for proportion of bifid mandibular canal were done. Results 40 studies met the inclusion criteria. All studies were selected for both systematic review and meta-analyses. Totally, 17714 patients and 31973 hemi-mandibles were included. All eligible studies showed moderate risk of bias on average. Resulting from the random effect model, more than 20% of patients seeking computed tomographic examinations had bifid mandibular canals (BMCs) which penetrated into slightly more than 14% of hemi-mandibles. Of the patients having bifid mandibular canals (BMCs), nearly 23% exhibited such anatomy on both sides of their mandibles. Estimated mean length and diameter of the accessory canals of bifid mandibular canals were 12.17 mm and 1.54 mm, respectively. Conclusion The geographical locations, classifications, reliability test, and voxel size of computed tomography were all implicated in the prevalence of bifid mandibular canals along with gender and laterality, although considerable heterogeneity and bias were detected.
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Hadilou M, Gholami L, Ghojazadeh M, Emadi N. Prevalence and extension of the anterior loop of the mental nerve in different populations and CBCT imaging settings: A systematic review and meta-analysis. Imaging Sci Dent 2022; 52:141-153. [PMID: 35799963 PMCID: PMC9226233 DOI: 10.5624/isd.20220001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2022] [Revised: 03/24/2022] [Accepted: 03/26/2022] [Indexed: 11/18/2022] Open
Abstract
Purpose Materials and Methods Results Conclusion
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Affiliation(s)
- Mahdi Hadilou
- Student Research Committee, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Leila Gholami
- Department of Oral Biological and Medical Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, Canada
| | - Morteza Ghojazadeh
- Research Center for Evidence Based Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Naghmeh Emadi
- Dental Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Elmasry RA, El-Fotouh MMA, el Sadat SMA, Aboelmaaty W. Cone beam computed tomography for evaluation of mandibular lingual canal in an Egyptian subpopulation. THE EGYPTIAN JOURNAL OF RADIOLOGY AND NUCLEAR MEDICINE 2021. [DOI: 10.1186/s43055-021-00472-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
A sample of three hundred cone beam computed tomography (CBCT) scans was evaluated. Median lingual canals (MLC) were identified and classified according to their anatomical location. Evaluation of the canal diameter, length, thickness of the buccal cortical plate, and the remaining bone above and below the canal was performed. The results were assessed twice with 2 weeks interval and statistically analyzed. The study was designed to evaluate MLC in an Egyptian subpopulation by the use of CBCT.
Results
Most of the scans presented with one MLC, with a maximum number of four canals, the mean diameter was 1.68± 1.27 mm, with a statistically significant difference in the length from the canal opening to the alveolar crest between females and males.
Conclusions
As the study detected a high prevalence of the MLC with a vast majority of the canals supra-spinosum, a vigilant examination is required using CBCT to avoid subsequent bleeding and airway obstruction.
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Barbosa DAF, Mesquita LR, Borges MMC, Mendonça DSD, Carvalho FSRD, Kurita LM, Silva PGDB, Rodrigues TR, Vasconcelos TV, Neto FH, Costa FWG. Mental Foramen and Anterior Loop Anatomic Characteristics: A Systematic Review and Meta-analysis of Cross-sectional Imaging Studies. J Endod 2021; 47:1829-1843.e1. [PMID: 34425149 DOI: 10.1016/j.joen.2021.08.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Revised: 08/05/2021] [Accepted: 08/11/2021] [Indexed: 11/19/2022]
Abstract
INTRODUCTION The present study aimed to review the epidemiologic, topographic, and morphometric aspects of the mental foramen (MF) and anterior loop (AL) on cone-beam computed tomographic imaging studies. METHODS An International Prospective Register of Systematic Reviews (PROSPERO)-registered systematic review (CRD42018112991) was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Two reviewers independently performed data extraction from observational studies that evaluated MF and AL on 7 electronic databases. MedCalc (MedCalc Software bv, Ostend, Belgium) software was used to perform a meta-analysis with a 95% confidence level. RESULTS Of 1545 articles, 66 met the inclusion criteria, totaling 14,233 patients from 5 continents, with a total of 6655 females and 5884 males (some studies did not report sex), with an age range between 8 and 89 years. The most prevalent shapes of MF were oval (48.72%) and circular (44.36%), and the most frequent horizontal positions were between premolars (43.66%) and in line with the long axis of the second premolar (43.12%). CONCLUSIONS Based on the articles that assessed AL, the mean prevalence was 43.18%, with most studies reporting bilateral localization as the most prevalent.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | - Francisco Haiter Neto
- Department of Oral Diagnosis, Division of Oral Radiology, Piracicaba Dental School, University of Campinas, São Paulo, Brazil
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Mishra SK, Nahar R, Gaddale R, Chowdhary R. Identification of anterior loop in different populations to avoid nerve injury during surgical procedures-a systematic review and meta-analysis. Oral Maxillofac Surg 2020; 25:159-174. [PMID: 33118108 DOI: 10.1007/s10006-020-00915-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Accepted: 10/21/2020] [Indexed: 11/29/2022]
Abstract
Exact recognition of the anterior loop is very important to avert any injury to the neurovascular bundle during surgical procedures. The purpose of this review was to evaluate the prevalence and length of the anterior loop in different populations. A comprehensive search of Medline/Pubmed and Cochrane database was done. The focused question was the presence of anterior loop (including loop length) of the inferior alveolar nerve in mental foramen region in CBCT images of the various subjects. Articles related to the presence of anterior loop (including loop length) were only included. Initial literature search resulted in 3024 papers, after removing duplicate articles, 2821 articles were left. Two thousand seven hundred eighty-four articles were further excluded by the reviewers after screening the abstracts which resulted in 37 studies. Hand searching resulted in 2 additional papers. Seven full-text articles were excluded for not fulfilling the inclusion criteria. Finally, 32 articles were included in the review. Two thousand five hundred three subjects with anterior loop were found, which approximates 38% with 48.4% bilateral, 27.8% right side, and 23.8% left side. The loop distribution in males and females was also found to be different. There was highly significant (P < 0.001; I2 = 98.81%) heterogeneity found in the included studies. Variations were found in the prevalence, length, gender, and side distribution of anterior loop in various populations. This systematic review highly recommends not relying on any average values and the clinician should compulsorily make use of imaging modalities available in each and every case, wherever surgical procedure is to be performed near mental foramen region.
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Affiliation(s)
- Sunil Kumar Mishra
- Department of Prosthodontics, Peoples College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India.
| | - Rajvi Nahar
- Department of Prosthodontics, Peoples College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India
| | - Reetika Gaddale
- Department of Periodontology, AME'S Dental College and Hospital, Raichur, Karnataka, India
| | - Ramesh Chowdhary
- Department of Prosthodontics, Rajarajeswari Dental College and Hospital, Bengaluru, Karnataka, India
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Detection and characterization of anterior loop, accessory mental foramen, and lateral lingual foramen by using cone beam computed tomography. J Prosthet Dent 2020; 124:365-371. [DOI: 10.1016/j.prosdent.2019.06.026] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2018] [Revised: 06/24/2019] [Accepted: 06/24/2019] [Indexed: 11/24/2022]
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Donovan TE, Marzola R, Murphy KR, Cagna DR, Eichmiller F, McKee JR, Metz JE, Albouy JP, Troeltzsch M. Annual review of selected scientific literature: A report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry. J Prosthet Dent 2018; 120:816-878. [DOI: 10.1016/j.prosdent.2018.09.010] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2018] [Accepted: 09/24/2018] [Indexed: 02/08/2023]
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