The management of persistent pain from a branch of the trifid mandibular canal due to implant impingement
S Aljunid, S AlSiweedi, P Nambiar… - Journal of Oral …, 2016 - meridian.allenpress.com
Journal of Oral Implantology, 2016•meridian.allenpress.com
The mandibular canal is a conduit that allows the inferior alveolar neurovascular bundle to
transverse the mandible to supply the dentition, jawbone, and soft tissue around the lower
lip. It is now acknowledged that the mandibular canal is not a single canal but an anatomical
structure with multiple branches and variations. Iatrogenic injury to branches of the
mandibular canal that carry a neurovascular bundle has been reported to cause injury to the
main canal as severe as if the main canal itself is traumatized. These injuries include …
transverse the mandible to supply the dentition, jawbone, and soft tissue around the lower
lip. It is now acknowledged that the mandibular canal is not a single canal but an anatomical
structure with multiple branches and variations. Iatrogenic injury to branches of the
mandibular canal that carry a neurovascular bundle has been reported to cause injury to the
main canal as severe as if the main canal itself is traumatized. These injuries include …
The mandibular canal is a conduit that allows the inferior alveolar neurovascular bundle to transverse the mandible to supply the dentition, jawbone, and soft tissue around the lower lip. It is now acknowledged that the mandibular canal is not a single canal but an anatomical structure with multiple branches and variations. Iatrogenic injury to branches of the mandibular canal that carry a neurovascular bundle has been reported to cause injury to the main canal as severe as if the main canal itself is traumatized. These injuries include bleeding, neurosensory disturbance, or the formation of traumatic neuroma, and so far, they have involved cases with the bifid mandibular canal. This current report presents a case of neurosensory disturbance that resulted from the impingement of a branch of a trifid mandibular canal during implant insertion. Its management included analgesics, reexamination, and reinserting a shorter implant.
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