원심경사를 동반한 제3 하악대구치 발치로 야기된 설신경 감각저하: 증례 보고와 문헌 고찰
Lingual Nerve Hypoesthesia caused by Extraction of the Third Mandibular molar with Distoangulation: A Case Report & Literature Review
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Extraction of the mandibular third molar is a frequently performed dental treatment, but since various complications can occur, it is necessary to evaluate the difficulty of extraction before treatment and proceed with careful treatment. The lingual nerve is responsible for the sensation of the anterior 1/3 of the tongue and the lingual soft tissue of the mandibular molars. The frequency of hypoesthesia of lingual nerve after extraction is lower than that of the inferior alveolar nerve, but recovery is slower due to the difference in anatomical structure and location from that of the lower alveolar nerve. The inclination of third molars is classified into mesioangulation, distoangulation, vertical, and horizontal. It is known that extraction of molars with distoangulation is difficult and may increase the probability of hypoesthesia. We report a case of hypoesthesia of lingual nerve after extraction disto-angular lower third molar, and review the literatures on the characteristic of third molar of distoangulation and potential risk factors causing hypoesthesia of lingual nerve.
Abstract
Extraction of the mandibular third molar is a frequently performed dental treatment, but since various complications can occur, it is necessary to evaluate the difficulty of extraction before treatment and proceed with careful treatment. The lingual nerve is responsible for the sensation of the anterior 1/3 of the tongue and the lingual soft tissue of the mandibular molars. The frequency of hypoesthesia of lingual nerve after extraction is lower than that of the inferior alveolar nerve, but recovery is slower due to the difference in anatomical structure and location from that of the lower alveolar nerve. The inclination of third molars is classified into mesioangulation, distoangulation, vertical, and horizontal. It is known that extraction of molars with distoangulation is difficult and may increase the probability of hypoesthesia. We report a case of hypoesthesia of lingual nerve after extraction disto-angular lower third molar, and review the literatures on the characteristic of third molar of distoangulation and potential risk factors causing hypoesthesia of lingual nerve.
참고문헌 (20)
- García AG, "Pell-Gregory classification is unreliable as a predictor of difficulty in extracting impacted lower third molars", Br J Oral and Maxillofac Surg, 38, pp.585~587 (2000)
- Akadiri O, "Predicting difficulty of third molar surgical extraction", Niger Postgrad Med J, 16, pp.105~ (2009)
- Itaru Tojyo, "Risk of lingual nerve injuries in removal of mandibular third molars: a retrospective case-control study", Maxillofacial Plastic Reconstructive Surgery, 41(9), pp.1~7 (2019), 대한악안면성형재건외과학회[DOI]
- Alali Y, "Lingual nerve injury : surgical anatomy and management", Oral Health, 2018, pp.9~ (2018)
- 도레미, "Delayed paresthesia of inferior alveolar nerve after dental surgery: case report and related pathophysiology", Journal of Dental Anesthesia and Pain Medicine, 18(3), pp.177~182 (2018), 대한치과마취과학회[DOI]
- Cheung LK, "Incidence of neurosensory deficits and recovery after lower third molar surgery : a prospective clinical study of 4338 cases", Int J Oral Maxillofac Surg, 39, pp.320~326 (2010)
- Martos-Fernández M, "Lingual nerve injury after third molar removal : Unilateral atrophy of fungiform papillae", J Clin Exp Dent, 6, pp.e193~6 (2014)
- Lata J, "Incidence of lingual nerve paraesthesia following mandibular third molar surgery", Natl J Maxillofac Surg, 2, pp.137~140 (2011)
- Rodella LF, "A review of the mandibular and maxillary nerve supplies and their clinical relevance", Arch Oral Biol, 57, pp.323~334 (2012)
- Behnia H, "An anatomic study of the lingual nerve in the third molar region", J Oral And Maxillofac Surg, 58, pp.649~651 (2000)
- Al-Amery SM, "Variation in lingual nerve course : a human cadaveric study", PLoS One, 11, pp.e0162773~ (2016)
- Fielding AF, "Lingual nerve paresthesia following third molar surgery : a retrospective clinical study", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 84, pp.345~348 (1997)
- Sun H, "Dexamethasone and vitamin B12 synergistically promote peripheral nerve regeneration in rats by upregulating the expression of brain-derived neurotrophic factor", Arch Med Sci : AMS, 8, pp.924~930 (2012)
- Romsa B, "Diagnosis and management of lingual nerve injuries", Oral Maxillofac Surg Clin North Am, 33, pp.239~248 (2021)
- Meyer RA, "Guidelines for diagnosis and treatment of peripheral trigeminal nerve injuries", Oral Maxillofac Surg Clin North Am, 13, pp.383~392 (2001)
- Sarikov R, "Inferior alveolar nerve injury after mandibular third molar extraction : a literature review", J Oral Maxillofac Res, 5, pp.e1~ (2014)
- Queral-Godoy E, "Incidence and evolution of inferior alveolar nerve lesions following lower third molar extraction", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 99, pp.259~264 (2005)
- Valmaseda-Castellón E, "Inferior alveolar nerve damage after lower third molar surgical extraction : a prospective study of 1117 surgical extractions", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 92, pp.377~383 (2001)
- Pippi R, "Prevention of lingual nerve injury in third molar surgery : literature review", J Oral Maxillofac Surg, 75, pp.890~900 (2017)
- Misch CE, "Mandibular nerve neurosensory impairment after dental implant surgery : management and protocol", Implant Dent, 19, pp.378~386 (2010)