MANDİBULAR İNTERFORAMİNAL BÖLGEDE DENTAL İMPLANT TEDAVİSİ İLE İLİŞKİLİ NÖROSENSÖRİYEL BOZUKLUKLARIN RETROSPEKTİF ANALİZİ

Öz

Bu çalışmanın amacı, dental implant cerrahisinde inferior alveoler sinirin ön loop bölgesinin hasarı kaynaklı nörosensoriyel bozukluk riskini panaromik radyografi ile değerlendirmektir. Dental implant tedavisi yapılmış 1614 hastanın panaromik radyografileri incelenmiş ve mental foramenlere 5 mm'den daha kısa bir mesafede bulunan implantları olan hastalar kayıt altına alınmıştır. Bu hastaların parestezi, anestezi, nöropatik ağrı durumları retrospektif olarak incelenmiştir. 405 hastada, dental implantların mental foramenlere 5 mm'den daha kısa bir mesafede yerleştirilmiş olduğu tespit edilmiştir. Mental foramenler ve dental implantlar arasında 0.6 mm ila 5 mm’lik mesafe olduğu ölçülmüştür. Hiçbir hastada çift taraflı parestezi şikâyeti görülmemiştir. 242 bölgenin beşinde (%2.06) hastaların tek taraflı olarak alt dudaklarında kalıcı parestezi olduğu tespit edilmiştir. Sonuç olarak panoramik radyografi, interforaminal bölgede dental implant planlaması için tamamen güvenilir bir görüntüleme yöntemi değildir. Tedavi öncesi nörosensoriyel bozukluk riskini değerlendirmek için daha ileri görüntüleme yöntemleri gereklidir.

Anahtar Kelimeler

• Dental implant
• ön loop
• panaromik radyografi.

RETROSPECTIVE ANALYSIS OF NEUROSENSORY DISTURBANCES RELATED TO DENTAL IMPLANT PLACEMENT IN MANDIBULAR INTERFORAMINAL REGION

Öz

The aim of this study is to evaluate the risk of neurosensory disturbances resulting from the injury of the anterior loop of the inferior alveolar nerve (IAN) in dental implant surgery with panoramic radiography. Panoramic radiographs of 1614 consecutive patients treated with dental implants were examined, and patients with implants located at a distance less than 5 mm to the mental foramen were recorded. Paresthesia, anesthesia, neuropathic pain was investigated retrospectively. In 405 patients, the implants were located in a distance less than 5 mm to the mental foramen. A range of 0.6 mm to 5 mm distance was detected between the mental foramen and these dental implants. No patient complained of bilateral paresthesia. In five (2.06%) of the 242 regions, it was found that patients had permanent unilateral paresthesia in their lower lips. In conclusion, panoramic radiography is not an entirely reliable imaging method for dental implant planning in the interforaminal region. Methods that are more sophisticated may be required to assess the risk of neurosensory disorder before treatment.

Anahtar Kelimeler

• Anterior loop
• dental implant
• inferior alveolar nerve.

Kaynakça

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