Neurological emergency after dental implantat insertion - what now?

A case report

Authors

  • Sandra Fatori Zahnärzte Wiedikon, Praxis Dr. Dr. Fatori, Zürich
  • Claude Andreoni Praxis Dres. Andreoni & Meier, Zürich
  • Heinz Theo Lübbers Praxis für MKG-Chirurgie, PD Dr. Dr. Lübbers, Winterthur
  • Sonja Gröschel Klinik und Poliklinik für Neurologie, Dr. Sonja Gröschel, Johannes-Gutenberg-Universität Mainz, Deutschland
  • Michael M. Bornstein Klinik für Oral Health & Medicine, Universitäres Zentrum für Zahnmedizin UZB, Universität Basel

DOI:

https://doi.org/10.61872/sdj-2024-03-07

PMID:

38847057

Keywords:

Sensibilitätsstörung, Implantation, Digitale Volumentomographie, Nervus alveolaris inferior

Abstract

The following case report presents a 37-year old male patient who was referred for an emergency assessment due to suspected neurovascular damage of the inferior alveolar nerve following placement of two implants in the posterior left mandible. Immediate explantation for nerve decompression is essential combined with supportive analgesic and antiphlogistic medication. Furthermore, oral glucocorticoids were prescribed, starting with 20mg with a stepwise phasing out of the medication thereafter.

References

Jacobs R, Quirynen M, Bornstein M: Neurovascular disturbances after implant surgery. Periodontol 2000. 66: 188-202 (2014)

Khawaja N, Renton T: Case studies on implant removal influencing the resolution of inferior alveolar nerve injury. Br Dent J. 206: 365-370 (2009)

Renton T, Yilmaz Z: Profiling of patients presenting with posttraumatic neuropathy of the trigeminal nerve. J Orofac Pain. 25: 333-344 (2011)

Worthington P: Injury to the inferior alveolar nerve during implant placement: a formula for protection of the patient and clinician. Int J Oral Maxillofac Implants. 19: 731-734 (2004)

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Published

2024-06-07

How to Cite

Fatori, S., Andreoni, C., Lübbers, H. T., Gröschel, S., & Bornstein, M. M. (2024). Neurological emergency after dental implantat insertion - what now? A case report. SWISS DENTAL JOURNAL SSO – Science and Clinical Topics, 134(3), 52-59. https://doi.org/10.61872/sdj-2024-03-07

How to Cite

Fatori, S., Andreoni, C., Lübbers, H. T., Gröschel, S., & Bornstein, M. M. (2024). Neurological emergency after dental implantat insertion - what now? A case report. SWISS DENTAL JOURNAL SSO – Science and Clinical Topics, 134(3), 52-59. https://doi.org/10.61872/sdj-2024-03-07