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Avances en Odontoestomatología
versão On-line ISSN 2340-3152versão impressa ISSN 0213-1285
Resumo
CARPIO-CEVALLOS, C et al. Complication in the placement of dental implants with compromise of the inferior dental nerve clinical case report, 3-year follow-up. Av Odontoestomatol [online]. 2023, vol.39, n.5, pp.260-264. Epub 25-Dez-2023. ISSN 2340-3152.
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.
Palavras-chave : Paresthesia; Mandibular Nerve; Dental Implants.