PDF(Pubmed)
Abstract：
OBJECTIVE: This scoping review explores the risk and management of traumatic injuries to the inferior alveolar and lingual nerves during mandibular dental procedures. Emphasizing the significance of diagnostic tools, the review amalgamates existing knowledge to offer a comprehensive overview.
METHODS: A literature search across PubMed, Embase, and Cochrane Library informed the analysis.
RESULTS: Traumatic injuries often lead to hypo-/anesthesia and neuropathic pain, impacting individuals psychologically and socially. Diagnosis involves thorough anamnesis, clinical-neurological evaluations, and radiographic imaging. Severity varies, allowing for conservative or surgical interventions. Immediate action is recommended for reversible causes, while surgical therapies like decompression, readaptation, or reconstruction yield favorable outcomes. Conservative management, utilizing topical anesthesia, capsaicin, and systemic medications (tricyclic antidepressants, antipsychotics, and serotonin-norepinephrine-reuptake-inhibitors), proves effective for neuropathic pain.
CONCLUSIONS: Traumatic nerve injuries, though common in dental surgery, often go unrecorded. Despite lacking a definitive diagnostic gold standard, a meticulous examination of the injury and subsequent impairments is crucial.
CONCLUSIONS: Tailoring treatment to each case\'s characteristics is essential, recognizing the absence of a universal solution. This approach aims to optimize outcomes, restore functionality, and improve the quality of life for affected individuals.
METHODS: A literature search across PubMed, Embase, and Cochrane Library informed the analysis.
RESULTS: Traumatic injuries often lead to hypo-/anesthesia and neuropathic pain, impacting individuals psychologically and socially. Diagnosis involves thorough anamnesis, clinical-neurological evaluations, and radiographic imaging. Severity varies, allowing for conservative or surgical interventions. Immediate action is recommended for reversible causes, while surgical therapies like decompression, readaptation, or reconstruction yield favorable outcomes. Conservative management, utilizing topical anesthesia, capsaicin, and systemic medications (tricyclic antidepressants, antipsychotics, and serotonin-norepinephrine-reuptake-inhibitors), proves effective for neuropathic pain.
CONCLUSIONS: Traumatic nerve injuries, though common in dental surgery, often go unrecorded. Despite lacking a definitive diagnostic gold standard, a meticulous examination of the injury and subsequent impairments is crucial.
CONCLUSIONS: Tailoring treatment to each case\'s characteristics is essential, recognizing the absence of a universal solution. This approach aims to optimize outcomes, restore functionality, and improve the quality of life for affected individuals.
摘要：
目的：本范围综述探讨了下颌牙科手术期间下牙槽和舌神经创伤性损伤的风险和处理方法。强调诊断工具的重要性，该审查合并了现有知识，以提供全面的概述。
方法：在PubMed，Embase,和Cochrane图书馆通报了分析结果。
结果：创伤通常会导致麻醉/麻醉和神经性疼痛，影响个人的心理和社会。诊断包括彻底的回忆，临床神经学评估，和射线成像。严重性各不相同，允许保守或手术干预。对于可逆的原因，建议立即采取行动，而减压等手术治疗，重新调整，或重建产生有利的结果。保守管理,利用局部麻醉，辣椒素,和全身性药物（三环抗抑郁药，抗精神病药,和5-羟色胺-去甲肾上腺素-再摄取抑制剂），证明对神经性疼痛有效。
结论：创伤神经损伤，虽然在牙科手术中很常见，经常没有记录。尽管缺乏明确的诊断金标准，对损伤和随后的损伤进行细致的检查是至关重要的。
结论：针对每个病例的特点进行量身定制的治疗至关重要，认识到缺乏普遍的解决方案。这种方法旨在优化结果，还原功能，改善受影响个体的生活质量。
方法：在PubMed，Embase,和Cochrane图书馆通报了分析结果。
结果：创伤通常会导致麻醉/麻醉和神经性疼痛，影响个人的心理和社会。诊断包括彻底的回忆，临床神经学评估，和射线成像。严重性各不相同，允许保守或手术干预。对于可逆的原因，建议立即采取行动，而减压等手术治疗，重新调整，或重建产生有利的结果。保守管理,利用局部麻醉，辣椒素,和全身性药物（三环抗抑郁药，抗精神病药,和5-羟色胺-去甲肾上腺素-再摄取抑制剂），证明对神经性疼痛有效。
结论：创伤神经损伤，虽然在牙科手术中很常见，经常没有记录。尽管缺乏明确的诊断金标准，对损伤和随后的损伤进行细致的检查是至关重要的。
结论：针对每个病例的特点进行量身定制的治疗至关重要，认识到缺乏普遍的解决方案。这种方法旨在优化结果，还原功能，改善受影响个体的生活质量。
