Neurosensory Disturbances After Implant Placement: A Scoping Review

Acevedo M.E.G.; Díaz J.C.R.; Putra S.B.; Astria N.; Thakur B.; Wahjuningrum D.A. · Journal of International Dental and Medical Research (2024)

Resumen

The objective of this review is to evaluate the diagnostic methods to determine the sensory alteration after placing dental implants as well as the respective treatment options. The search was carried out using two databases (PubMed, Scopus) with specific indexing terms: “Mandibular nerve, inferior alveolar nerve, trigeminal nerve, dental implants, hyperalgesia, paresthesia, nerve injury, altered sensation, sensory disturbance, dysesthesia, anesthesia”. Additionally, a manual search was carried out in indexed journals to find articles related to injuries in the inferior alveolar nerve after placing the implant. It was restricted to English papers published during the last ten years, from January 2012 to October 2022. Two reviewers selected the titles and analyzed the abstracts according to the inclusion and exclusion criteria. Some descriptions of preoperative imaging techniques and diagnostic methods to determine sensorial alteration and treatment after nerve injury when placing dental implants were selected and categorized. The search identified twelve articles related to the topics, five were excluded due to incompatibility with the inclusion criteria established. Then, two additional articles were included and identified through inverse search. Finally, nine studies were selected for this review. The studies presented diagnostic methods used to determine inferior alveolar nerve alterations, and we evaluated the treatments received to solve the alterations after placing dental implants. Over the years, various diagnostic methods have been developed to determine sensory alterations after the placement of dental implants. Removing the dental implant is recommended up to 36 hours after the mandibular nerve injury. Microsurgery could lead to proper neurosensorial recovery. © (2024), (University of Dicle). All Rights Reserved.

Instituciones: Universidad Nacional Mayor de San Marcos; Universidad Privada San Juan Bautista