Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2014 Dec 29;5(4):e2.
doi: 10.5037/jomr.2014.5402. eCollection 2014 Oct-Dec.

Inferior alveolar nerve injuries following implant placement - importance of early diagnosis and treatment: a systematic review

Ilana Shavit  1 , Gintaras Juodzbalys  1
Affiliations
Review

Inferior alveolar nerve injuries following implant placement - importance of early diagnosis and treatment: a systematic review

Ilana Shavit et al. J Oral Maxillofac Res. .

Abstract

Objectives: The purpose of this article is to systematically review diagnostic procedures and risk factors associated with inferior alveolar nerve injury following implant placement, to identify the time interval between inferior alveolar nerve injury and its diagnosis after surgical dental implant placement and compare between outcomes of early and delayed diagnosis and treatment given based on case series recorded throughout a period of 10 years.

Material and methods: We performed literature investigation through MEDLINE (PubMed) electronic database and manual search through dental journals to find articles concerning inferior alveolar nerve injury following implant placement. The search was restricted to English language articles published during the last 10 years, from December 2004 to March 2014.

Results: In total, we found 33 articles related to the topic, of which 27 were excluded due to incompatibility with established inclusion criteria. Six articles were eventually chosen to be suitable. The studies presented diagnostic methods of inferior alveolar nerve sensory deficit, and we carried out an assessment of the proportion of patients diagnosed within different time intervals from the time the injury occurred.

Conclusions: Various diagnostic methods have been developed throughout the years for dealing with 1 quite frequent complication in the implantology field - inferior alveolar nerve injury. Concurrently, the importance of early diagnosis and treatment was proved repeatedly. According to the results of the data analysis, a relatively high percentage of the practitioners successfully accomplished this target and achieved good treatment outcomes.

Keywords: dental implants; fifth cranial nerve injury; inferior alveolar nerve; mandibular nerve; paraesthesia.

PubMed Disclaimer

Figures

Figure 1
Figure 1
PRISMA flow diagram.
Figure 2
Figure 2
Number of patients treated.
Figure 3
Figure 3
Proportion of patients diagnosed in different time intervals.
Figure 4
Figure 4
No implant intrusion to MC. Implant bed preparation is too deep.
See this image and copyright information in PMC

References

    1. Juodzbalys G, Wang HL, Sabalys G. Injury of the Inferior Alveolar Nerve during Implant Placement: a Literature Review. J Oral Maxillofac Res. 2011 Apr 1;2(1):e1. URL: http://www.ejomr.org/JOMR/archives/2011/1/e1/v2n1e1ht.htm. - DOI - PMC - PubMed
    1. Kiyak HA, Beach BH, Worthington P, Taylor T, Bolender C, Evans J. Psychological impact of osseointegrated dental implants. Int J Oral Maxillofac Implants. 1990 Spring;5(1):61-9. - PubMed
    1. Bartling R, Freeman K, Kraut RA. The incidence of altered sensation of the mental nerve after mandibular implant placement. J Oral Maxillofac Surg. 1999 Dec;57(12):1408-12. - DOI - PubMed
    1. Ellies LG, Hawker PB. The prevalence of altered sensation associated with implant surgery. Int J Oral Maxillofac Implants. 1993;8(6):674-9. - PubMed
    1. Khawaja N, Renton T. Case studies on implant removal influencing the resolution of inferior alveolar nerve injury. Br Dent J. 2009 Apr 11;206(7):365-70. - DOI - PubMed

LinkOut - more resources