임플란트 식립후 하악 신경손상에 대한 후향적 연구

• Published in: Journal of the Korean Association of Oral and Maxillofacial Surgeons Vol. 30; no. 4; pp. 339 - 344
• Main Authors: 권대근(Tae-Geon Kwon), 김신유(Shin-Yu Kim), 김종배(Jong-Bae Kim)
• Format: Journal Article
• Language: Korean
• Published: 대한구강악안면외과학회 30.08.2004; Korean Association Of Oral And Maxillofacial Surgeons
• Subjects: 치의학; Dental implant; Nerve damage
• ISSN: 2234-7550; 2234-5930

The purpose of this study was to evaluate neurosensory disturbance associated with implant surgery performed by implant practitioner (n=47) composed of trained oral surgeon, periodontist, prosthodontist. The incidence, type and duration of sensory disorder were investigated. Anatomical factor of the patient and experience of operator were also evaluated. The result revealed high incidence of inferior alveolar nerve damage (45%) regardless of experience of implant practitioner. The sensory disturbance sustained within 6 months for 61% of cases, which revealed almost normal recovery of nerve function. Initial neurologic sign after nerve damage was not coincide with their consequence of recovery. Half of the practitioners tried surgical intervention to the implants such as removing the fixture, partial unscrewing or re-implant shorter fixture, of which trial regarded as effective measure for 53% of cases. The result indicates that the objective method of sensory nerve evaluation should be introduced to the implant practitioners and the importance of informed consent for possibility of nerve damage in mandibular implant fixation. KCI Citation Count: 1