Does articaine, rather than lidocaine, increase the risk of nerve damage when administered for inferior alveolar nerve blocks in patients undergoing local anaesthesia for dental treatment? A mini systematic review of the literature

Nerve repositioning surgery is one of the treatments chosen for the patients with edentulous posterior atrophic mandible. Like any other treatments, this therapy has its advantages and disadvantages, indications and contraindications. The most important complication of this procedure is neurosensory disturbance. This problem may occur at different stages of the treatment. One common time when nerve damage happens is when the nerve is located outside the canal and drilling and insertion of the implant are performed. Accordingly, this report describes a simple and feasible method to retract and protect nerves outside the canal during the treatment of nerve transposition. This will reduce the risk of nerve damage.

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The effect of low-level laser radiation on improving inferior alveolar nerve damage after sagittal split osteotomy: a systematic review

Lasers in Medical Science ◽

10.1007/s10103-019-02718-3 ◽

2019 ◽

Vol 34 (5) ◽

pp. 865-872 ◽

Cited By ~ 3

Author(s):

Alireza Mirzaei ◽

Amir Saberi-Demneh ◽

Norbert Gutknecht ◽

Gholamhosein Ramezani

Keyword(s):

Systematic Review ◽

Laser Radiation ◽

Inferior Alveolar Nerve ◽

Nerve Damage ◽

Low Level ◽

Low Level Laser ◽

Sagittal Split Osteotomy ◽

Level Laser

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Peri-operative pain management in hip arthroscopy: a systematic review of the literature

Journal of Hip Preservation Surgery ◽

10.1093/jhps/hnz050 ◽

2019 ◽

Vol 6 (4) ◽

pp. 353-363

Author(s):

Jensen G Kolaczko ◽

Derrick M Knapik ◽

Michael J Salata

Keyword(s):

Systematic Review ◽

Pain Management ◽

Hip Arthroscopy ◽

Pain Control ◽

Review Of The Literature ◽

Discharge Time ◽

Nerve Blocks ◽

Vas Score ◽

Significant Difference ◽

Control Protocols

Abstract The purpose of this article was to review current literature on peri-operative pain management in hip arthroscopy. A systematic review of the literature on pain control in hip arthroscopy published January 2008 to December 2018 was performed. Inclusion criteria consisted of English language or articles with English translations, subjects undergoing hip arthroscopy with documented peri-operative pain control protocols in studies reporting Level I to IV evidence. Exclusion criteria were non-English articles, animal studies, prior systematic review or meta-analyses, studies not reporting peri-operative pain control protocols, studies documenting only pediatric (<18 years of age) patients, studies with Level V evidence and studies including less than five subjects. Statistical analysis was performed to assess pain protocols on narcotic consumption in PACU, VAS score on discharge, time to discharge from PACU and incidence of complications. Seventeen studies were included, comprising 1674 patients. Nerve blocks were administered in 50% of patients (n = 838 of 1674), of which 88% (n = 740 of 838) received a pre-operative block while 12% (n = 98 of 838) post-operative block. Sixty-eight complications were recorded: falls (54%, n = 37), peripheral neuritis (41%, n = 28), seizure (1.5%, n = 1), oxygen desaturation and nausea (1.5%, n = 1) and epidural spread resulting in urinary retention (1.5%, n = 1). No significant differences in narcotic consumption, VAS score at discharge, time until discharge or incidence of complication was found based on pain control modality utilized. No statistically significant difference in PACU narcotic utilization, VAS pain scores at discharge, time to discharge or incidence of complications was found between peri-operative pain regimens in hip arthroscopy.

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Does the Coronectomy a Feasible and Safe Procedure to Avoid the Inferior Alveolar Nerve Injury during Third Molars Extractions? A Systematic Review

Healthcare ◽

10.3390/healthcare9060750 ◽

2021 ◽

Vol 9 (6) ◽

pp. 750

Author(s):

Raphaela Capella de Souza Póvoa ◽

Carlos Fernando de Almeida Barros Mourão ◽

Thaise Cristina Geremias ◽

Roberto Sacco ◽

Ludmilla Silva Guimarães ◽

...

Keyword(s):

Systematic Review ◽

Clinical Trials ◽

Nerve Injury ◽

Inferior Alveolar Nerve ◽

Nerve Damage ◽

Lingual Nerve ◽

Safe Procedure ◽

Third Molars ◽

Dry Socket ◽

Inferior Alveolar Nerve Injury

This systematic review aimed to review the literature on the coronectomy technique and evaluate the incidence of success and complications as a surgical approach for inferior third molars. Online databases were searched for data on the frequency of inferior alveolar nerve damage, lingual nerve damage, root migration, pain, infection, dry socket, and extraction of the remaining root, and data on the necessity of reintervention were also extracted. Randomized clinical trials, controlled clinical trials, prospective cohort studies, and prospective and retrospective studies with or without the control group were intercepted. This systematic review was registered in PROSPERO (CDR 42020135485). Sixteen papers analyzed 2176 coronectomies in total, and only five of them were judged as appropriate according to methodological quality assessment. The incidence of inferior alveolar nerve injury was documented in 0.59% of the procedures, lingual nerve injury in 0.22%, infection 3.95%, dry socket 1.12%, extraction of the root 5.28%, and reintervention 1.13%. The pain was the most reported, in 22.04% of the population. This study provides an overview of the clinical success and complications of coronectomy, and their prevalence. A coronectomy may be considered a low-risk procedure and an option for treatment to avoid potential damage to nervous structures. However, patients should still undergo a full screening and evaluation of postsurgical procedures.

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