inferior alveolar nerve

A case of bilateral kissing molars

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An interesting article titled “Bilateral ‘kissing’ molars: A case report” appears in Clinical Case Reports written by Bilal Aslam- Pervez and Emma Carr (2022;10:e06407). The article discusses a case of a 20 year old man who had a very rare bilateral kissing molars impaction. Kissing molars occur the occlusal surfaces of impacted molars are united by the same follicular space and the roots point in the opposite direction. This typically occurs between wisdom teeth and second molars, but can also occur between wisdom teeth and the fourth molar. In the article discussion is made of the 20 year old man who went to a hospital in Scotland complaining of a dull ache for the last year. The patient was healthy but did smoke around 10 cigarettes a day for the last few years. Upon examination a total of 7 teeth … Read more

Chances of Nerve Injury After Wisdom Teeth Removal

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An interesting article titled “Investigation of nerve injury after lower third molar removal” written by Moosa and Malden appears in the 2018 edition of Oral Surgery (vol. 11, pp. 22-27). The article seeks to address how many patients develop inferior alveolar nerve or lingual nerve injury after wisdom teeth removal at a dental clinic in Edinburgh, UK. Nerve injury is a type of complication that is known to occur after wisdom teeth removal. Two nerves that are often damaged include the inferior alveolar nerve and the lingual nerve. When the inferior alveolar nerve is injured there can be tingling, numbness, burning, or painful sensations near the lower lip, chin, and teeth. When the lingual nerve is injured there can be tingling, numbness, burning, or painful sensations near the tongue and loss of taste can occur. According to the authors prior … Read more

Piezoelectric Handpiece versus Standard Handpiece for Wisdom Teeth Surgery

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An interesting article titled “Comparison of a piezoelectric and a standard surgical handpiece in third molar surgery” appears in the 2019 edition of Oral Surgery written by Gopal et al (vol. 12, pp. 30-34). The article discusses if there are any advantageous to using either a piezoelectric handpiece or a standard surgical handpiece with respect to outcomes after wisdom teeth surgery. In the article the authors describe how a piezoelectric handpiece can allow for micrometric cuts with maximum surgical precision and minimal damage to soft tissue. A study was devised including 30 patients who presented in Cape Town, South Africa for removal of all 4 wisdom teeth. The patients had their wisdom teeth removed on one side using a piezoelectric handpiece and on the other side using a standard surgical handpiece and thus a split-mouth design was used. All surgeries … Read more

Do People Know about Coronectomy For Management of Wisdom Teeth?

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An interesting article titled “Coronectomy: a recognised procedure?” appears in the 2018 edition of Oral Surgery written by Dhanrajani and Smith (vol. 11, pp. 273-281). The article discusses a review of the literature on coronectomy to treat wisdom teeth along with a retrospective study. Coronectomy is often suggested to treat wisdom teeth when there is a high risk of nerve damage and is associated with a low rate of complications, see for example the past posts Care Guidelines for Wisdom Teeth: 2014 Finnish Guidelines, A Study of 185 Coronectomy Procedures of Wisdom Teeth, and Complications Associated with Coronectomy. In the article by Dhanrajani and Smith the authors discuss how the inferior alveolar nerve or lingual nerve can be damaged during wisdom teeth removal and that patients seek to avoid such a complication. Coronectomy is a procedure that removes only the … Read more

Long Term Effects of Trigeminal Nerve Injuries from Dental Care

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A study was published in the Journal of Oral and Maxillofacial Surgery titled “Long-Term Outcome of Trigeminal Nerve Injuries Related to Dental Treatment” by M. Anthony Pogrel, Ryan Jergensen, Eric Burgon, and Daniel Hulme. (vol. 69, pages 2284-2288, 2011) that looked at long-term effects of those who suffer from permanent nerve injury from dental treatment particularly involving the third molars or wisdom teeth. A total of 145 patients with 95 female and 50 male patients were involved in the study who had suffered a trigeminal nerve injury affecting either the inferior alveolar nerve or lingual nerve and in 8 cases both nerves. Nineteen patients (13.1 %) reported that their employment was affected, while 21  patients (14.5%)  reported problems with their relationship, 53  patients (36. 6%) reported depression, 55  patients (38%) reported problems speaking and pronouncing words correctly, 63  patients (43.5%) reported … Read more