Pain sensation and postsurgical complications in posterior mandibular implant placement using ridge mapping, panoramic radiography, and infiltration anesthesia

Ali Saad Thafeed Alghamdi, Ali Saad Thafeed Alghamdi

Abstract

Objectives. The aim of this study was to investigate intrasurgical and after surgical, pain and the incidence of after surgical alteration of sensation in the mandible and lower lip when placing implants in the posterior mandible using ridge mapping, panoramic radiography, and infiltration anesthesia. Methods. This was a longitudinal clinical study of healthy patients needing implant placement in the posterior mandible. After thorough examination and treatment plan using ridge mapping and panoramic radiography, all patients received dental implants under local infiltration anesthesia. The patients were then given a questionnaire to assess the pain during anesthesia and implant surgery. Change of sensation in the lower lip was evaluated by standard neurosensory examination tests at 7 days and 1 and 4 months. Prosthetic treatment was carried out 4 months postsurgery and the patients were followed for an average of 28.5 months afterwards. Results. A total of 103 implants were placed in 62 patients. Patients reported very minor pain during injection. No pain was reported during either implant placement or bone grafting procedures. No alteration of sensation in the mandible or lower lip was recorded postsurgery. Conclusion. In most cases, ridge mapping, panoramic radiography, and infiltration anesthesia are sufficient for posterior mandibular implant placement without pain or complications.

References

    1. Alhassani AA, AlGhamdi AS. Inferior alveolar nerve injury in implant dentistry: diagnosis, causes, prevention, and management. The Journal of Oral Implantology. 2010;36(5):401–407.
    1. Mehra A, Pai KM. Evaluation of dimensional accuracy of panoramic cross-sectional tomography, its ability to identify the inferior alveolar canal, and its impact on estimation of appropriate implant dimensions in the mandibular posterior region. Clinical Implant Dentistry and Related Research. 2009;14(1):100–111.
    1. Bartling R, Freeman K, Kraut RA. The incidence of altered sensation of the mental nerve after mandibular implant placement. Journal of Oral and Maxillofacial Surgery. 1999;57(12):1408–1410.
    1. Ellies LG. Altered sensation following mandibular implant surgery: a retrospective study. The Journal of Prosthetic Dentistry. 1992;68(4):664–671.
    1. Hegedus F, Diecidue RJ. Trigeminal nerve injuries after mandibular implant placement—practical knowledge for clinicians. International Journal of Oral and Maxillofacial Implants. 2006;21(1):111–116.
    1. Moon S, Lee SJ, Kim E, Lee CY. Hypoesthesia after IAN block anesthesia with lidocaine: management of mild to moderate nerve injury. Restorative Dentistry & Endodontics. 2012;37(4):232–235.
    1. Juodzbalys G, Wang HL, Sabalys G, Sidlauskas A, Galindo-Moreno P. Inferior alveolar nerve injury associated with implant surgery. Clinical Oral Implants Research. 2011;24(2):183–190.
    1. Heller AA, Shankland WE., II Alternative to the inferior alveolar nerve block anesthesia when placing mandibular dental implants posterior to the mental foramen. The Journal of Oral Implantology. 2001;27(3):127–133.
    1. Levitt DS. Apicoectomy of an endosseous implant to relieve paresthesia: a case report. Implant Dentistry. 2003;12(3):202–205.
    1. Anderson LC, Kosinski TF, Mentag PJ. A review of the intraosseous course of the nerves of the mandible. The Journal of Oral Implantology. 1991;17(4):394–403.
    1. Frei C, Buser D, Dula K. Study on the necessity for cross-section imaging of the posterior mandible for treatment planning of standard cases in implant dentistry. Clinical Oral Implants Research. 2004;15(4):490–497.
    1. Garg AK, Vicari A. Radiographic modalities for diagnosis and treatment planning in implant dentistry. The Implant Society. 1995;5(5):7–11.
    1. Tal H, Moses O. A comparison of panoramic radiography with computed tomography in the planning of implant surgery. Dentomaxillofacial Radiology. 1991;20(1):40–42.
    1. Vazquez L, Saulacic N, Belser U, Bernard JP. Efficacy of panoramic radiographs in the preoperative planning of posterior mandibular implants: a prospective clinical study of 1527 consecutively treated patients. Clinical Oral Implants Research. 2008;19(1):81–85.
    1. Kraut RA, Chahal O. Management of patients with trigeminal nerve injuries after mandibular implant placement. Journal of the American Dental Association. 2002;133(10):1351–1354.
    1. Worthington P. Injury to the inferior alveolar nerve during implant placement: a formula for protection of the patient and clinician. International Journal of Oral and Maxillofacial Implants. 2004;19(5):731–734.
    1. Xu GZ, Yang C, Fan XD, et al. Anatomic relationship between impacted third mandibular molar and the mandibular canal as the risk factor of inferior alveolar nerve injury. The British Journal of Oral & Maxillofacial Surgery. 2013
    1. Seibert JS, Cohen DW. Periodontal considerations in preparation for fixed and removable prosthodontics. Dental Clinics of North America. 1987;31(3):529–555.
    1. Wilson DJ. Ridge mapping for determination of alveolar ridge width. The International Journal of Oral & Maxillofacial Implants. 1989;4(1):41–43.
    1. AlGhamdi AS, Ciancio SG. Guided tissue regeneration membranes for periodontal regeneration—a literature review. Journal of the International Academy of Periodontology. 2009;11(3):226–231.
    1. AlGhamdi AS, Shibly O, Ciancio SG. Osseous grafting—part II: xenografts and alloplasts for periodontal regeneration—a literature review. Journal of the International Academy of Periodontology. 2010;12(2):39–44.
    1. Chen LC, Lundgren T, Hallström H, Cherel F. Comparison of different methods of assessing alveolar ridge dimensions prior to dental implant placement. Journal of Periodontology. 2008;79(3):401–405.
    1. Sümnig W. Determining the alveolar ridge width in planning treatment with endosseous implants. Stomatologie der DDR. 1990;40(3):120–121.
    1. ten Bruggenkate CM, de Rijcke TB, Kraaijenhagen HA, Oosterbeek HS. Ridge mapping. Implant Dentistry. 1994;3(3):179–182.

Source: PubMed

Sponsor e collaboratori

Condizioni mediche

Interventi farmacologici

3
Sottoscrivi