Surgical Removal of Dental Implants Dislocated Into the Mandibular Body

Paran Lee; Mi Hyun Seo

doi:10.32542/implantology.2023004

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2023 Vol.27, Issue 1 Preview Page Next Page

Clinical or Case Report

Surgical Removal of Dental Implants Dislocated Into the Mandibular Body

31 March 2023. pp. 29-37

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Abstract

With the recent advances in dental implantology, the number of implant surgeries is rapidly increasing. Unfortunately, along with considerable success, several complications have been reported. Regarding inferior alveolar nerve damage, the severity of damage is the most critical factor affecting the prognosis. Patients with poor-quality bone are at risk for nerve damage even if the distance from the alveolar crest to the inferior alveolar nerve canal is sufficient to prevent nerve damage. Herein, we report two cases of accidental insertion of a dental implant into the inferior alveolar canal. In both cases, the displaced implant was removed using a piezosurgery device without causing excessive bone defects. Therefore, good bone healing was achieved without plate fixation. Inferior alveolar nerve damage recovered in both patients.

Keywords

Dental implant

Iatrogenic injury

Inferior alveolar nerve

References

Pääsky E, Suomalainen A, Ventä I. Are women more susceptible than men to iatrogenic inferior alveolar nerve injury in dental implant surgery? Int J Oral Maxillofac Surg 2022;51:251-6. 10.1016/j.ijom.2021.05.00834074573

Yilmaz Z, Ucer C, Scher E, Suzuki J, Renton T. A survey of the opinion and experience of UK dentists: Part 1: The incidence and cause of iatrogenic trigeminal nerve injuries related to dental implant surgery. Implant Dent 2016;25:638-45. 10.1097/ID.000000000000047227540843

Vazquez L, Saulacic N, Belser U, Bernard JP. Efficacy of panoramic radiographs in the preoperative planning of posterior mandibular implants: a prospective clinical study of 1527 consecutively treated patients. Clin Oral Implants Res 2008;19:81-5. 10.1111/j.1600-0501.2007.01402.x17956572

Dario LJ. Implant placement above a bifurcated mandibular canal: A case report. Implant Dent 2002;11:258-61. 10.1097/00008505-200207000-0001012271563

Kiyak HA, Beach BH, Worthington P, Taylor T, Bolender C, Evans J. Psychological impact of osseointegrated dental implants. Int J Oral Maxillofac Implants. 1990;5:61-9. 2202671

Bartling R, Freeman K, Kraut RA. The incidence of altered sensation of the mental nerve after mandibular implant placement. J Oral Maxillofac Surg 1999;57:1408-12. 10.1016/S0278-2391(99)90720-610596660

Ellies LG. Altered sensation following mandibular implant surgery: a retrospective study. J Prosthet Dent 1992;68:664-71. 10.1016/0022-3913(92)90384-M1403947

Sharawy M, Misch CE. Anatomy for dental implants. In: Misch CE, ed. Contemporary Implant Dentistry, 2nd ed. St. Louis: The CV Mosby Company; 1999. p. 217-24.

Jaaskelainen SK, Teerijoki-Oksa T, Virtanen A, Tenovuo O, Forssell H. Sensory regeneration following intraoperatively verified trigeminal nerve injury. Neurology 2004;62:1951-7. 10.1212/01.WNL.0000129490.67954.C215184595

Lin CS, Wu SY, Huang HY, Lai YL. Systematic Review and Meta-Analysis on Incidence of Altered Sensation of Mandibular Implant Surgery. PLoS One 2016;11:e0154082. 10.1371/journal.pone.015408227100832PMC4839635

Burstein J, Mastin C, Le B. Avoiding injury to the inferior alveolar nerve by routine use of intraoperative radiographs during implant placement. J Oral Implantol 2008;34:34-8. 10.1563/1548-1336(2008)34[34:AITTIA]2.0.CO;218390241

Steinberg MJ, Kelly PD. Implant-related nerve injuries. Dent Clin North Am 2015;59:357-73. 10.1016/j.cden.2014.10.00325835799

Klemetti E. A review of residual ridge resorption and bone density. J Prosthet Dent 1996;75:512-4. 10.1016/S0022-3913(96)90455-28709016

Luoto R, Kaprio J, Uutela A. Age at natural menopause and sociodemographic status in Finland. Am J Epidemiol 1994;139:64-76. 10.1093/oxfordjournals.aje.a1169368296776

Kim YT, Pang KM, Jung HJ, Kim SM, Kim MJ, Lee JH. Clinical outcome of conservative treatment of injured inferior alveolar nerve during dental implant placement, J Korean Assoc Oral Maxillofac Surg 2013;39:127-33. 10.5125/jkaoms.2013.39.3.12724471030PMC3858167

Kirpalani T, Dym H. Role of piezo surgery and lasers in the oral surgery office. Dent Clin North Am 2020;64:351-63. 10.1016/j.cden.2019.12.00732111274

De Azevedo ET, Costa DL, Pryzysiezny PE, Kluppel L. Using piezoelectric system in oral and maxillofacial surgery Int J Med Surg Sci 2015;2:551-5. 10.32457/ijmss.2015.029

Stübinger S, Kuttenberger J, Filippi A, Sader R, Zeilhofer HF. Intraoral piezosurgery: preliminary results of a new technique. J Oral Maxillofac Surg 2005;63:1283-7. 10.1016/j.joms.2005.05.30416122591

Information

Publisher :The Korean Academy of Oral & Maxillofacial Implantology
Publisher(Ko) :대한구강악안면임플란트학회
Journal Title :Journal of implantology and applied sciences
Journal Title(Ko) :대한구강악안면임플란트학회지
Volume : 27
No :1
Pages :29-37
Received Date : 2023-03-17
Revised Date : 2023-03-30
Accepted Date : 2023-03-30
DOI :https://doi.org/10.32542/implantology.2023004

Journal of implantology and applied sciences ISSN:2765-7833(Print) 2765-7841(Online) 대한구강악안면임플란트학회지

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