The management of persistent pain from a branch of the trifid mandibular canal due to implant impingement

Aljunid, S. and Alsiweedi, S. and Nambiar, Phrabhakaran and Chai, Wen Lin and Ngeow, Wei Cheong (2016) The management of persistent pain from a branch of the trifid mandibular canal due to implant impingement. Journal of Oral Implantology, 42 (4). pp. 349-352. ISSN 0160-6972, DOI https://doi.org/10.1563/aaid-joi-D-16-00011.

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Official URL: https://doi.org/10.1563/aaid-joi-D-16-00011

Abstract

The mandibular canal is a conduit that allows the inferior alveolar neurovascular bundle to transverse the mandible to supply the dentition, jawbone, and soft tissue around the lower lip. It is now acknowledged that the mandibular canal is not a single canal but an anatomical structure with multiple branches and variations. Iatrogenic injury to branches of the mandibular canal that carry a neurovascular bundle has been reported to cause injury to the main canal as severe as if the main canal itself is traumatized. These injuries include bleeding, neurosensory disturbance, or the formation of traumatic neuroma, and so far, they have involved cases with the bifid mandibular canal. This current report presents a case of neurosensory disturbance that resulted from the impingement of a branch of a trifid mandibular canal during implant insertion. Its management included analgesics, reexamination, and reinserting a shorter implant.

Item Type: Article
Funders: Ministry of Higher Education, Kuala Lumpur
Uncontrolled Keywords: Mandibular canal; Trifid canal; Implant; Neurosensory disturbance
Subjects: R Medicine > RK Dentistry
Divisions: Faculty of Dentistry
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 13 Nov 2017 06:22
Last Modified: 27 Sep 2019 08:53
URI: http://eprints.um.edu.my/id/eprint/18243

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