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Simplifying the assessment of the recovery from surgical injury to the lingual nerve

Simplifying the assessment of the recovery from surgical injury to the lingual nerve
Simplifying the assessment of the recovery from surgical injury to the lingual nerve
Objective: to determine the sensitivity of conventional sensory assessment in monitoring lingual nerve recovery subsequent to third molar surgery and to evaluate if the assessment methods can be predictive of injury outcome.

Method: a prospective case series of 94 patients presenting with lingual nerve injuries evaluated using objective mechanosensory and subjective methods during the recovery period of up to 12 months.

Results: the conventional tests were often unable to diagnose the presence of injury due to variability and they were not predictive of outcome. As a result of this study, we are able to identify patients more likely to have permanent rather than temporary lingual nerve injury at four to eight weeks post injury, using patient reported subjective function. The subjective function test also minimises the requirements for specialist training or equipment providing an ideal method for general dental practice.

Conclusions: the development of these simple subjective tests may enable us to identify which patients are at risk of permanent lingual nerve injuries in the early post injury phase, thus allowing expeditious therapy when indicated
0007-0610
569-573
Renton, T.
fe0194b5-3691-4924-8f63-2a746255da84
Thexton, A.
1851b637-74ee-45c8-a153-cee988452de1
Crean, S.-J.
a1c51767-069f-4033-8dc1-ce015ca05bb3
Hankins, Matthew
ce4b7d68-3320-4af4-9dd7-3537a4b07219
Renton, T.
fe0194b5-3691-4924-8f63-2a746255da84
Thexton, A.
1851b637-74ee-45c8-a153-cee988452de1
Crean, S.-J.
a1c51767-069f-4033-8dc1-ce015ca05bb3
Hankins, Matthew
ce4b7d68-3320-4af4-9dd7-3537a4b07219

Renton, T., Thexton, A., Crean, S.-J. and Hankins, Matthew (2006) Simplifying the assessment of the recovery from surgical injury to the lingual nerve. British Dental Journal, 200 (10), 569-573. (doi:10.1038/sj.bdj.4813584). (PMID:16732250)

Record type: Article

Abstract

Objective: to determine the sensitivity of conventional sensory assessment in monitoring lingual nerve recovery subsequent to third molar surgery and to evaluate if the assessment methods can be predictive of injury outcome.

Method: a prospective case series of 94 patients presenting with lingual nerve injuries evaluated using objective mechanosensory and subjective methods during the recovery period of up to 12 months.

Results: the conventional tests were often unable to diagnose the presence of injury due to variability and they were not predictive of outcome. As a result of this study, we are able to identify patients more likely to have permanent rather than temporary lingual nerve injury at four to eight weeks post injury, using patient reported subjective function. The subjective function test also minimises the requirements for specialist training or equipment providing an ideal method for general dental practice.

Conclusions: the development of these simple subjective tests may enable us to identify which patients are at risk of permanent lingual nerve injuries in the early post injury phase, thus allowing expeditious therapy when indicated

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Published date: May 2006
Organisations: Faculty of Health Sciences

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Local EPrints ID: 343934
URI: http://eprints.soton.ac.uk/id/eprint/343934
ISSN: 0007-0610
PURE UUID: d740e411-d710-4a1b-963a-9173874e1048

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Date deposited: 15 Nov 2012 13:44
Last modified: 14 Mar 2024 12:08

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Contributors

Author: T. Renton
Author: A. Thexton
Author: S.-J. Crean
Author: Matthew Hankins

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