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Incidence of injury to lingual nerve during surgical removal of lower third molar teeth | ||
| Journal of baghdad college of dentistry | ||
| Article 1, Volume 22, Issue 1, 2010, Pages 58-61 | ||
| Author | ||
| Akeel S. Abd Alsada | ||
| Abstract | ||
| ABSTRACTBackground: The precise anatomic location of the lingual nerve in relation to the lingual cortex of the posteriormandibular third molar is clinically significant because lingual nerve subjected to injury during varieties of oral andmaxillofacial surgery especially in the surgical removal of impacted lower third molar.In this study we find the incidence of injury to lingual nerve as a complication of surgical removal of impacted thirdmolar. Fifty dental patients of 20-25 years old, male and female, 25 cases were done by me and other 25 cases weredone by my colleagues in the maxillofacial department in the college of dentistry-university Sulaimani, suffering fromimpacted lower third molar tooth, subjected to surgical removal of these teeth, we study the incidence of injury tolingual nerve in form tip of the tongue parasthesia for one month postsurgery. The aim of study is that to find theincidence of injury to lingual nerve during surgical removal of fully impacted lower third molar tooth and factorsaffecting this surgery.Materials and methods:, 84 third molars surgery of mucoperiosteal marginal soft tissue flap of buccal approach werecarried out under local anaesthesia by using surgical set for tooth extraction, 4.0 black silk suture to close the wound.Results:, The incidence of injury to the lingual nerve is 2.8% as a temporary sensory disturbance , while no patient 0%of permanent of sensory disturbance.Conclusion:, The incidence of injury to the lingual nerve can be reduced by careful clinical evaluation, propersurgeon’s experience, and wide anatomical knowledgement during surgical removal of impacted lower third molartooth.Key words: Lingual nerve. Impacted lower third molar. J Bagh Coll Dentistry 2010; 22(1):58-61.. | ||
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