Scopus
🔓 Açık Erişim YÖKSİS DOI Eşleşti
Hypoesthesia After Implant Surgery 6 Months Follow-Up: Case Series
Selcuk Dental Journal · Haziran 2023
YÖKSİS Kayıtları
HYPOESTHESİA AFTER IMPLANT SURGERY 6 MONTHS FOLLOW-UP: CASE SERİES
Selcuk Dental Journal · 2023 TR DİZİN
Dr. Öğr. Üyesi EMİNE ELİF MUTAFCILAR VELİOĞLU →
HYPOESTHESİA AFTER IMPLANT SURGERY 6 MONTHS FOLLOW-UP: CASE SERİES
Selcuk Dental Journal · 2023 TR DİZİN
Dr. Öğr. Üyesi SEFA AYDINDOĞAN →
Makale Bilgileri
Dergi
Selcuk Dental Journal
Yayın TarihiHaziran 2023
Cilt / Sayfa10 · 350-355
Scopus ID2-s2.0-105007757498
Erişim🔓 Açık Erişim
Özet
Objective: The aim of this case series is to evaluate the treatment of patients who develop hypoesthesia without direct nerve damage after dental implant placement. Cases: Three systemically healthy patients were referred to our clinic with the complaint of altered sensation in the lower chin and lip area. Clinical and radiological examinations were performed on patients who learned that implants were placed in the mandibular premolar region within 48 hours. With the radiographs taken from different angles, it was evaluated that the implants were not in contact with the inferior alveolar nerve (IAN). In clinical evaluation, facial swelling and edema was detected in all patients. Mechanoceptive and nociceptive tests were applied by giving a score of 1/10 against the stimulus to determine the extent of sensory changes of the patients. The diagnosis of hypoesthesia was made in the evaluation performed with the patient's eyes closed, in a quiet environment, using the contralateral side as a control. Following IV corticosteroid administration (prednisolone, 40 mg), 6 days of oral prednisolone was prescribed (1 mg per kg, max 80 mg). In addition, the non-steroidal anti-inflammatory (NSAID) prescribed for pain control after surgery was continued (ibuprofen 400mg, 3 times a day). The patients were informed and called for follow-up controls. Results: After 2 weeks, 80-90% improvement was detected in the senses and no additional medication was administered. No difference was detected from the contralateral side at the 3 and 6 month controls. Conclusion: Determining the extent and etiology of IAN damage is important in the management of such cases. Early detection of symptoms and early steroid administration may be effective in improving hypoesthesia findings. According to the results of this case series, corticosteroid and antiinflammatory drug applications may contribute to the improvement of symptoms in the absence of direct nerve contact damage after implant surgery.
Yazarlar (3)
1
Sefa Aydındoğan
2
E. Elif Mutafcilar Velioğlu
ORCID: 0000-0003-1882-553X
3
Yunus Emre Balaban
ORCID: 0000-0002-1754-4296
Anahtar Kelimeler
dental implants
hypesthesia
nerve injury
Kurumlar
Selçuk Üniversitesi
Selçuklu Turkey