Introduction:

Accidents or complications during the placement of dental implants despite surgical planning should be handled immediately and in a timely manner.

Objective:

To recommend the best protocol to manage the injury of the inferior dental nerve resulting from the placement of dental implant.

Clinical Case:

Patient attends private clinic to receive specialty dental care, age 67 years, female, presents arterial hypertension, insulin resistance, premedicated with Hydronorol T and Metformin. Pacientereports exodontics of four molars, immediate placement of four dental implants, felt a numbness of the chin with the loss of effct of the anesthetic; 72 hours later proceeded to perform Tomography Cone Bean, observing implant contacting the inferior dental nerve, immediately planning the removal of the dental implant.

Results:

Control at 3, 6, 9 months, 1, 2 and 3 years after implant removal, application of pharmacological therapy based on corticosteroids, NSAIDs and vitamin B, with favorable results in the treatment of paresthesia.

Conclusions:

The extraction of the dental implant before 72 hours and the appropriate pharmacological therapy was successful in the treatment of the lesion of the inferior dental nerve.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )