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This disorder is characterized by episodes of severe facial pain along the trigeminal nerve divisions. The trigeminal nerve is a paired cranial nerve that has three major branches: the ophthalmic nerve (V 1), the maxillary nerve (V 2), and the mandibular nerve (V 3). One, two, or all three branches of the nerve may be affected.
Less common nerves injuries are on the lingual nerve and mental nerve, which are responsible for tongue and chin sensation respectively. The lingual nerve is affected by the wire placement in the molar region. [51] The mental nerve injury can be caused by the presence of bony spurs. A damage in the nerve may require additional therapy to repair ...
The inferior alveolar nerve, which is a branch of the mandibular nerve, must be identified during surgery and worked around carefully in order to minimize nerve damage. The numbness may be either temporary, or more rarely, permanent. [25] Recovery from the nerve damage typically occurs within three months after repair.
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]
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.
In patients with severe injury, progress is followed with nerve conduction studies. If nerve conduction studies show a large (>90%) change in nerve conduction, the nerve should be decompressed. The facial paralysis can follow immediately the trauma due to direct damage to the facial nerve, in such cases a surgical treatment may be attempted.
Condylar resorption, also called idiopathic condylar resorption, ICR, and condylysis, is a temporomandibular joint disorder in which one or both of the mandibular condyles are broken down in a bone resorption process. This disorder is nine times more likely to be present in females than males, and is more common among teenagers. [1]
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.
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