Nerve Damage and Third Molar Removal

O R A L S U R G EO R A L. R Y S U R G E R Y. Nerve Damage and Third Molar Removal A. R. LOESCHER, K. G. SMITH AND P. P. ROBINSON. connective tissue and other structures in Abstract: The surgical Removal of lower Third molars endangers both the lingual and the neurovascular bundle. After injury, inferior alveolar nerves. Patients sustaining an injury to either of these nerves must be unless the Nerve is displaced into the managed correctly, and this requires a diagnosis of the injury type and regular monitoring of the recovery of sensation. Surgical intervention for a damaged inferior socket, the severed Nerve ends do not alveolar Nerve is not usually indicated but may be undertaken: if the Nerve is retract, but will remain in apposition. completely divided and the severed ends are misaligned; if a bony fragment has Regeneration within the canal will thus be compressed the mandibular canal; or if the patient suffers from persistent neuropathic unimpeded unless obstructed by pain.

376 Dental Update – September 2003 ORAL SURGERY the inferior alveolar nerve and the roots of the third molar may be judged radiographically2,3,4,5 in an attempt to predict the likelihood of nerve damage.

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  Never, Third, Moral, Removal, Damage, Nerve damage and third molar removal

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