Document Detail

Incidence of nerve damage following third molar removal: a West of Scotland Oral Surgery Research Group study.
MedLine Citation:
PMID:  1567807     Owner:  NLM     Status:  MEDLINE    
A survey was carried out to record both initial and longterm effects on the lingual and inferior alveolar nerves following third molar removal. Eight hundred and twenty five patients were included from eight West of Scotland Oral Surgery Units, and had 1339 third molars removed. Changes in sensation were recorded by direct questioning at 6 to 24 h and 7 to 10 days, and by postal questionnaire at 12-18 months. The incidence of lingual nerve damage was found to be 15% of operated sides at 6 to 24 hours, 10.7% at 7 to 10 days, and 0.6% after 1 year. The incidence of inferior alveolar nerve damage was 5.5% of operated sides at 6 to 24 h, 3.9% at 7 to 10 days, and 0.9% after 1 year. These results are proposed as an indication of the likely incidence of nerve damage complicating third molar removal in the general circumstances of current United Kingdom practice and are presented as a basis for discussion of patient information and current prudent practice. Since one in four patients suffered at least temporary sensory deficit, we believe the case for effective warning of all patients undergoing impacted third molar removal is overwhelming.
F A Carmichael; D A McGowan
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The British journal of oral & maxillofacial surgery     Volume:  30     ISSN:  0266-4356     ISO Abbreviation:  Br J Oral Maxillofac Surg     Publication Date:  1992 Apr 
Date Detail:
Created Date:  1992-05-28     Completed Date:  1992-05-28     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8405235     Medline TA:  Br J Oral Maxillofac Surg     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  78-82     Citation Subset:  D; IM    
Department of Oral Surgery, Glasgow Dental Hospital and School.
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MeSH Terms
Alveolectomy / adverse effects
Cranial Nerve Diseases / epidemiology
Facial Muscles / innervation*
Follow-Up Studies
Lingual Nerve / injuries*
Mandibular Nerve / injuries*
Molar, Third / surgery*
Scotland / epidemiology
Surgical Flaps / adverse effects
Tooth Extraction / adverse effects*
Tooth, Impacted / surgery
Tooth, Unerupted / surgery
Wounds and Injuries / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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