Mandibular third molars (M3M) could present themselves in close proximity to inferior alveolar nerve (IAN). Execution of tooth displacement and extraction of third molar roots may result in nerve injuries: neuronal lesions have a frequency that ranged from 0.5% to 8% during surgery of M3M in close proximity to IAN. Computed tomography (CT) scans are widely used to deter- mine the spatial relation between the IAN and lower third molars. Recently, coronectomy has been introduced for intentional M3M partial removal, in order to avoid IAN lesion, but often a second intervention in years is required and possibility of many complications exists in the post-surgical time, so complete surgical extraction of M3M in close proximity to IAN and presurgical imaging study evaluation are still a matter of interest in international literature. In this sight, we performed a fine literature review considering the possibility of the use of a neuronal feedback (NF) of the patient during M3M surgery in order to completely extract M3M and avoid IAN lesions, and we theorized a new surgical technique for extraction of M3M in close proximity to IAN, requiring the use of CT-scan presurgical study and a particular anesthesia technique. In this paper, the authors describe a new surgical technique and the outcome on patients requiring M3M surgery in communication with IAN. Recovery of patients has been measured with Health-Related Quality of Life (HRQOL) parameters.
|Titolo:||The neuronal feedback (NF) technique in third molar surgery|
|Citazione:||Chisci, G., Parrini, S., Gennaro, P., Gabriele, G., & Capuano, A. (2013). The neuronal feedback (NF) technique in third molar surgery. THE JOURNAL OF CRANIOFACIAL SURGERY, 24(6), 2221-2223.|
|Appare nelle tipologie:||1.1 Articolo in rivista|