N.lingualis traumatizācija retinēto gudrības zobu ķirurģijā. Cēloņi, diagnostika un ārstēšana
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Date
2022
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Ievads. Retinēta trešā molāra ķirurģiska izņemšana ir mutes, sejas un žokļu ķirurga viena no visbiežāk veiktām ķirurģiskajām manipulācijām. Kā nopietna komplikācija pie šāda veida ķirurģijas ir lingvālā nerva traumatizācija. Lielākā daļa lingvālā nerva traumu saistās ar īslaicīgiem jušanas traucējumiem, bet dažos gadījumos - pastāvīga parestēzija, hipestēzija vai kāda no dizestēzijas formām.
Mērķis. Pētnieciskā darba mērķis ir apkopot un izanalizēt literatūru par n. lingualis traumatizāciju pie retinētu gudrības zobu ekstrakcijām un ar to saistīto ārstēšanu.
Materiāli un metodes. Literatūras apskata veidošanā tika izmantoti uz pierādījumiem balstīti raksti, publikācijas un grāmatas. Darbā izmantotie raksti tika meklēti Rīgas Stradiņa universitātes tiešsaistes datu bāzēs: PubMed, ScienceDirect, ClinicalKey, Elsvier, The Cochrane Library. Darba rakstīšanā tika izmantotas 31 publikācijas un 3 grāmatas, kas tika publicētas laika posmā no 1984. gada līdz 2022. gadam.
Secinājumi. Veiksmīga retinēta apakšžokļa trešā molāra ķirurģiska izņemšana bez lingvālā nerva traumēšanas ir atkarīga no zoba retinēšanās pakāpes, lēvera dizaina un izmantotās ekstrakcijas tehnikas. Ja zoba izņemšanas laikā lingvālais nervs tiek traumēts, tad ļoti svarīga ir agrīna diagnostika un tūlītēji uzsākta nepieciešamā ārstēšana.
Atslēgvārdi: “lingvālā nerva traumatizācija”, “lingvālā nerva anatomija”, “retinēti apakšžokļa trešie molāri”, “lingvālais nervs un ārstēšana”, “lingual split tehnika”, “trešais molārs un lēvera dizains”, “lingvālais nervs un prevencija”, “retinēts apakšžokļa trešais molārs un ekstrakcija”
Introduction. Surgical extraction of the impacted third molar is one of the most commonly performed procedures in oral and maxillo-facial surgery. A serious complication during that type of surgery is lingual nerve injuries. Most lingual nerve injuries are associated with temporary sensory disorders, but in some cases, it can lead to chronic paresthesia, hypesthesia or cause some forms of dysesthesia. Aim. The aim of the research work is to collect and analyze data on lingual nerve injuries during extractions of the impacted mandibular third molar and the recommended treatment. Materials and methods. Evidence-based articles, publications and books were used to create the reference list. The articles listed in the work were searched in the online databases of Riga Stradins University, such as PubMed, ScienceDirect, ClinicalKey, Elsvier, The Cochrane Library. 31 publications and 3 books, which were published in the period from 1984 to 2022, were used in the work. Conclusion. Successful surgical extraction of the impacted mandibular third molar, without injuring the lingual nerve, depends on the degree of tooth impaction, the flap design and the extraction techniques used. If the lingual nerve is injured during tooth extraction, early diagnosis and the immediate proper treatment are essential. Keywords: “lingual neve injury”, “lingual nerve anatomy”, “impacted mandibular third molar”, “lingual nerve and treatment”, “lingual split technique”, “third molar and flap design”, “lingual nerve and prevention”, “impacted mandibular third molar and extraction”
Introduction. Surgical extraction of the impacted third molar is one of the most commonly performed procedures in oral and maxillo-facial surgery. A serious complication during that type of surgery is lingual nerve injuries. Most lingual nerve injuries are associated with temporary sensory disorders, but in some cases, it can lead to chronic paresthesia, hypesthesia or cause some forms of dysesthesia. Aim. The aim of the research work is to collect and analyze data on lingual nerve injuries during extractions of the impacted mandibular third molar and the recommended treatment. Materials and methods. Evidence-based articles, publications and books were used to create the reference list. The articles listed in the work were searched in the online databases of Riga Stradins University, such as PubMed, ScienceDirect, ClinicalKey, Elsvier, The Cochrane Library. 31 publications and 3 books, which were published in the period from 1984 to 2022, were used in the work. Conclusion. Successful surgical extraction of the impacted mandibular third molar, without injuring the lingual nerve, depends on the degree of tooth impaction, the flap design and the extraction techniques used. If the lingual nerve is injured during tooth extraction, early diagnosis and the immediate proper treatment are essential. Keywords: “lingual neve injury”, “lingual nerve anatomy”, “impacted mandibular third molar”, “lingual nerve and treatment”, “lingual split technique”, “third molar and flap design”, “lingual nerve and prevention”, “impacted mandibular third molar and extraction”
Description
Zobārstniecība
Dentistry
Veselības aprūpe
Health Care
Dentistry
Veselības aprūpe
Health Care
Keywords
“lingvālā nerva traumatizācija”, “lingvālā nerva anatomija”, “retinēti apakšžokļa trešie molāri”, “lingvālais nervs un ārstēšana”, “lingual split tehnika”, “trešais molārs un lēvera dizains”, “lingvālais nervs un prevencija”, “retinēts apakšžokļa trešais molārs un ekstrakcija”, “lingual neve injury”, “lingual nerve anatomy”, “impacted mandibular third molar”, “lingual nerve and treatment”, “lingual split technique”, “third molar and flap design”, “lingual nerve and prevention”, “impacted mandibular third molar and extraction”