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Brisceno, C. E., Rossouw, P. E., Carrillo, R., Spears, R. & Buschang, P. H. Healing of the roots and surrounding structures after intentional damage with miniscrew implants. Am. J. Orthod. Dentofacial Orthop. 135(3), 292–301 (2009). Department of Prosthodontics, Section of Dentistry, Seoul National University Bundang Hospital, 82, Gumi-ro 173 beon-gil, Bundang-gu, Seongnam, Korea Smith K G, Robinson P P . An experimental study on the recovery of the lingual nerve after injury with or without repair. Int J Oral Maxillofac Surg 1995: 24: 372–379.

Ischaemic injury due to entrapment within a bony canal (IAN) with continued bleeding or scar formation.Ribas et al. 7 claimed that inadequate distance between the implant and the adjacent teeth was the most common problem during implant positioning. However, when an implant invades an adjacent tooth during surgery, the dentist has no evidence-based information to reverse the damage till now. As mentioned earlier, human case reports are not enough regarding the prognosis of teeth and implants. The long-term results of clinical studies on tooth injury by dental implants are also still unknown, except for Rubenstein and Taylor’s 23 10-year follow-up case report on patient with apical nerve transection. Thus it is not easy to determine whether to extract the damaged tooth or to remove invading implants. Larrazábal C, García B, Peñarrocha M, Peñarrocha M . Influence of oral hygiene and smoking on pain and swelling after surgical extraction of impacted mandibular third molars. J Oral Maxillofac Surg 2010; 68: 43–46. Mason D A . Lingual nerve damage following lower third molar surgery. Int J Oral Maxillofac Surg 1988; 17: 290–294. Neural chemical trauma due to intracellular components released during trauma, haemoglobin irritates neural tissue Goodacre, C. J., Bernal, G., Rungcharassaeng, K. & Kan, J. Y. K. Clinical complications with implants and implant prostheses. J. Prosthet. Dent. 90, 121–132 (2003).

The incidence of lingual nerve injury related to third molar surgery, one day after surgery (excluding the use of lingual flap elevation) varies from 0.4% to 1.5%. 10 The incidence of persistent involvement (still present at six months) varies from 0.5% (with the use of a lingual flap) to a low of 0.0%. 14 The author uses a minimal access buccal approach (see Chapter 4 of the associated BDJ Clinical Guide) for M3Ms as lingual flap access surgery is associated with increased temporary lingual nerve injury (LNI). Causes of lingual nerve injury include dental local anaesthetic injections, intubation, ablative surgery and submandibular gland surgery. The most common cause of LNIs is third molar surgery, with a reported incidence of 1-20% temporary and 0-2% permanent. 9 Persistence of any peripheral sensory nerve injury depends on the severity of the injury, increased age of the patient, the time elapsed since the injury and the proximity of the injury to the cell body (the more proximal lesions having a poorer prognosis).

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Robinson P P, Loescher A R, Smith K G . The effect of surgical technique on lingual nerve damage during lower 3rd molar removal by dental students. Eur J Dent Educ 1999; 3: 52–55.

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Hillerup S . Iatrogenic injury to oral branches of the trigeminal nerve: records of 449 cases. Clin Oral Investig 2007; 11: 133–142. Epub.

You can take your learning to the next level with exclusive courses, quizzes, and extra practice content with the Codecademy Pro membership. Everything you need to learn to code, all designed by its in-house team of experts, has been upgraded to unleash your maximum potential. Soft and comfortable, it lasts all day without irritation or slipping. Perfect for sensitive skin too. Ahmed, V. K. S., Rooban, T., Krishnaswamy, N. R., Man, K. & Kalladka, G. Root damage and repair in patients with temporary skeletal anchorage devices. Am. J. Orthod. Dentofacial Orthop. 141(5), 547–555 (2012). Hembree, M., Buschang, P. H., Carrillo, R., Spears, R. & Rossouw, P. E. Effects of intentional damage to the roots and surrounding structures with miniscrew implants. Am. J. Orthod. Dentofacial Orthop. 135(280), e1-280.e9 (2009).

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Renton T . Prevention of iatrogenic inferior alveolar nerve injuries in relation to dental procedures. Dent Update 2010; 37: 350–352, 354–356, 358–360, passim. Hillerup S, Stoltze K . Lingual nerve injury in third molar surgery – I. Observations on recovery of sensation with spontaneous healing. Int J Oral Maxillofac Surg 2007; 36: 884–889.