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Nerve injuries occur in 3.7% of the patients after the mandibular setback surgery. [49] Cutting and repositioning of the mandible in the surgery can potentially damage nerves in the mandible that is responsible for sensation and movement. Specifically, the inferior alveolar nerve are the commonly affected nerve in the surgery. [50]
Thus the facial artery can be used as an important landmark in locating the marginal mandibular nerve during surgical procedures. [2] Damage can cause paralysis of the three muscles it supplies, which can cause an asymmetrical smile due to lack of contraction of the depressor labii inferioris muscle . [ 3 ]
An injection blocks sensation in the inferior alveolar nerve, which runs from the angle of the mandible down the medial aspect of the mandible, innervating the mandibular teeth, lower lip, chin, and parts of the tongue, which is effective for dental work in the mandibular arch. To anesthetize this nerve, the needle is inserted somewhat ...
The risk of nerve injury in relation to mandibular dental implants is not known but it is a recognised risk requiring the patient to be warned. [10] If an injury occurs urgent treatment is required. The risk nerve injury in relation deep dental injections has a risk of injury in approximately 1:14,000 with 25% of these remaining persistent.
Damage to the marginal mandibular branch of the facial nerve may cause paralysis of the depressor anguli oris muscle. [1] This may contribute to an asymmetrical smile. [1] This may be corrected by resecting (cutting and removing) the depressor labii inferioris muscle, which has a more significant impact on smiling. [1]
The Stafne defect (also termed Stafne's idiopathic bone cavity, Stafne bone cavity, Stafne bone cyst (misnomer), lingual mandibular salivary gland depression, lingual mandibular cortical defect, latent bone cyst, or static bone cyst) is a depression of the mandible, most commonly located on the lingual surface (the side nearest the tongue).
The mandibular nerve immediately passes between tensor veli palatini, which is medial, and lateral pterygoid, which is lateral, and gives off a meningeal branch (nervus spinosus) and the nerve to medial pterygoid from its medial side. The nerve then divides into a small anterior division and a large posterior division.
Damage may be incurred during violent yawning, laughing, road traffic accidents, sports injuries, interpersonal violence, or during dental treatment, [25] (such as tooth extraction). [ 27 ] It has been proposed that a link exists between whiplash injuries (sudden neck hyper-extension usually occurring in road traffic accidents), and the ...