Download PDF
ZWR - Das Deutsche Zahnärzteblatt 2020; 129(09): 422-436
DOI: 10.1055/a-1244-1252
Fortbildung
Implantologie

Implantationsassoziierte Nervschädigungen

David Kreuziger
,
Thomas Weischer
› Further Information
Also available at
    Permissions and Reprints

Dank wissenschaftlicher und technischer Fortschritte sowie der Fortbildungsbereitschaft der Behandler ist in den letzten Jahren das Risiko für Nervverletzungen im Rahmen einer Implantation gesunken. Es passiert trotzdem: Manchmal ist die Leitungsanästhesie im Unterkiefer „schuld“, manchmal die Anatomie von Knochen und Weichgeweben, manchmal eine zu tiefe Bohrung. Und was dann? Dieser Beitrag stellt einen praxisnahen Algorithmus vor.

Publication History

Article published online:
28 September 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Stuttgart · New York

 

  • Literatur

  • 1 Kraut RA, Chahal O. Management of patients with trigeminal nerve injuries after mandibular implant placement. J Am Dent Assoc 2002; 133: 1351-1354
    CrossrefPubMedGoogle Scholar
  • 2 Al-Sabbagh M, Okeson JP, Bertoli E. et al. Persistent pain and neurosensory disturbance after dental implant surgery: prevention and treatment. Dent Clin North Am 2015; 59: 143-156
    CrossrefPubMedGoogle Scholar
  • 3 Misch CE, Resnik R. Mandibular nerve neurosensory impairment after dental implant surgery: management and protocol. Implant Dent 2010; 19: 378-386
    CrossrefPubMedGoogle Scholar
  • 4 Ellies LG, Hawker PB. The prevalence of altered sensation associated with implant surgery. Int J Oral Maxillofac Implants 1993; 8: 674-679
    PubMedGoogle Scholar
  • 5 Wismeijer D, van Waas MA, Vermeeren JI. et al. Patientsʼ perception of sensory disturbances of the mental nerve before and after implant surgery: a prospective study of 110 patients. Br J Oral Maxillofac Surg 1997; 35: 254-259
    CrossrefPubMedGoogle Scholar
  • 6 Dannan A, Alkattan F, Jackowski J. Altered Sensations of the Inferior Alveolar Nerve after Dental Implant Surgery: a Retrospective Study. Dentistry 2013; DOI: 10.4172/2161-1122.S13.
    CrossrefPubMedGoogle Scholar
  • 7 Deppe H, Mücke T, Wagenpfeil S. et al. Trigeminal nerve injuries after mandibular oral surgery in a university outpatient setting-a retrospective analysis of 1,559 cases. Clin Oral Investig 2015; 19: 149-157
    CrossrefPubMedGoogle Scholar
  • 8 Juodzbalys G, Wang HL, Sabalys G. Injury of the Inferior Alveolar Nerve during Implant Placement: a Literature Review. J Oral Maxillofac Res 2011; 2: e1
    CrossrefPubMedGoogle Scholar
  • 9 Hegedus F, Diecidue RJ. Trigeminal nerve injuries after mandibular implant placement-practical knowledge for clinicians. Int J Oral Maxillofac Implants 2006; 21: 111-116
    PubMedGoogle Scholar
  • 10 Hillerup S. Iatrogenic injury to oral branches of the trigeminal nerve: records of 449 cases. Clin Oral Investig 2007; 11: 133-142
    CrossrefPubMedGoogle Scholar
  • 11 Bagheri SC, Meyer RA. Management of mandibular nerve injuries from dental implants. Atlas Oral Maxillofac Surg Clin North Am 2011; 19: 47-61
    CrossrefPubMedGoogle Scholar
  • 12 Scarano A, Sinjari B, Murmura G. et al. Neurosensory Disturbance of the Inferior Alveolar Nerve After 3025 Implant Placements. Implant Dent 2017; 26: 735-743
    CrossrefPubMedGoogle Scholar
  • 13 Sunderland S. The anatomy and physiology of nerve injury. Muscle Nerve 1990; 13: 771-784
    CrossrefPubMedGoogle Scholar
  • 14 Wallesch CW, Unterberg A, Dietz V. Hrsg. Neurotraumatologie. Stuttgart, New York: Thieme; 2005: 95-117
    Google Scholar
  • 15 Sunderland S. A classification of peripheral nerve injuries producing loss of function. Brain 1951; 74: 491-516
    CrossrefPubMedGoogle Scholar
  • 16 Alhassani AA, AlGhamdi AS. Inferior alveolar nerve injury in implant dentistry: diagnosis, causes, prevention, and management. J Oral Implantol 2010; 36: 401-407
    CrossrefPubMedGoogle Scholar
  • 17 Ziccardi VB, Assael LA. Mechanisms of trigeminal nerve injuries. Atlas Oral Maxillofac Surg Clin North Am 2001; 9: 1-11
    CrossrefPubMedGoogle Scholar
  • 18 Al-Ouf K, Salti L. Postinsertion pain in region of mandibular dental implants: a case report. Implant Dent 2011; 20: 27-31
    CrossrefPubMedGoogle Scholar
  • 19 Shavit I, Juodzbalys G. Inferior alveolar nerve injuries following implant placement – importance of early diagnosis and treatment: a systematic review. J Oral Maxillofac Res 2014; 5: e2
    CrossrefPubMedGoogle Scholar
  • 20 Kawamura P, Wessberg GA. Normal trigeminal neurosensory responses. Hawaii Dent J 1985; 16: 8-11
    PubMedGoogle Scholar
  • 21 Poort LJ, van Neck JW, van der Wal KG. Sensory testing of inferior alveolar nerve injuries: a review of methods used in prospective studies. J Oral Maxillofac Surg 2009; 67: 292-300
    CrossrefPubMedGoogle Scholar
  • 22 Biasiotta A, Cascone P, Cecchi R. et al. Iatrogenic damage to the mandibular nerves as assessed by the masseter inhibitory reflex. J Headache Pain 2011; 12: 485-488
    CrossrefPubMedGoogle Scholar
  • 23 Nakagawa K, Ueki K, Takatsuka S. et al. Somatosensory-evoked potential to evaluate the trigeminal nerve after sagittal split osteotomy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001; 91: 146-152
    CrossrefPubMedGoogle Scholar
  • 24 Nakagawa K, Ueki K, Matsumoto N. et al. The assessment of trigeminal sensory nerve paraesthesia after bilateral sagittal split osteotomy: modified somatosensory evoked potentials recording method. J Craniomaxillofac Surg 1997; 25: 97-101
    CrossrefPubMedGoogle Scholar
  • 25 Monsour PA, Dudhia R. Implant radiography and radiology. Aust Dent J 2008; 53 (Suppl. 01) S11-S25
    CrossrefPubMedGoogle Scholar
  • 26 Benavides E, Rios HF, Ganz SD. et al. Use of cone beam computed tomography in implant dentistry: the International Congress of Oral Implantologists consensus report. Implant Dent 2012; 21: 78-86
    CrossrefPubMedGoogle Scholar
  • 27 Sammartino G, Marenzi G, Citarella R. et al. Analysis of the occlusal stress transmitted to the inferior alveolar nerve by an osseointegrated threaded fixture. J Periodontol 2008; 79: 1735-1744
    CrossrefPubMedGoogle Scholar
  • 28 Misch CE, Crawford EA. Predictable mandibular nerve location – a clinical zone of safety. Int J Oral Implantol 1990; 7: 37-40
    PubMedGoogle Scholar
  • 29 Kütük N, Gönen ZB, Yaşar MT. et al. Reliability of panoramic radiography in determination of neurosensory disturbances related to dental implant placement in posterior mandible. Implant Dent 2014; 23: 648-652
    PubMedGoogle Scholar
  • 30 Juodzbalys G, Wang HL, Sabalys G. et al. Inferior alveolar nerve injury associated with implant surgery. Clin Oral Implants Res 2013; 24: 183-190
    CrossrefPubMedGoogle Scholar
  • 31 Steinberg MJ, Kelly PD. Implant-related nerve injuries. Dent Clin North Am 2015; 59: 357-373
    CrossrefPubMedGoogle Scholar
  • 32 Renton T, Dawood A, Shah A. et al. Post-implant neuropathy of the trigeminal nerve. A case series. Br Dent J 2012; 212: E17
    CrossrefPubMedGoogle Scholar
  • 33 Levitt DS. Apicoectomy of an endosseous implant to relieve paresthesia: a case report. Implant Dent 2003; 12: 202-205
    CrossrefPubMedGoogle Scholar
  • 34 Bagheri SC, Meyer RA, Khan HA. et al. Retrospective review of microsurgical repair of 222 lingual nerve injuries. J Oral Maxillofac Surg 2010; 68: 715-723
    CrossrefPubMedGoogle Scholar
  • 35 Pogrel MA. The results of microneurosurgery of the inferior alveolar and lingual nerve. J Oral Maxillofac Surg 2002; 60: 485-489
    CrossrefPubMedGoogle Scholar
  • 36 Renton T. Oral surgery: part 4. Minimising and managing nerve injuries and other complications. Br Dent J 2013; 215: 393-399
    CrossrefPubMedGoogle Scholar