|More Information||Classified Ads|
|For Authors||Continuing Education|
Iatrogenic Paresthesia in the Third Division of the Trigeminal Nerve: 12 Years of Clinical ExperienceFULL TEXT
• René Caissie, DMD, MSc •
A b s t r a c t
Methods: The files of all 165 patients referred to the oral and maxillofacial surgery department for evaluation of iatrogenic paresthesia in the third division of the trigeminal nerve were reviewed. The characteristics of the subgroup of patients who had taken an attending dentist to court were compared with those of the other patients.
Results: Surgical extraction of impacted molars was the main cause of paresthesia in 109 (66%) of the 165 subjects. The alveolar nerve was affected in 89 (54%) subjects, the lingual nerve in 67 (41%) subjects, and both nerves were affected in 9 (5%) subjects. There were more female than male patients (ratio 2.2:1).
Lawsuits were initiated in 33 (20%) of the cases; patients who initiated lawsuits were younger, were more likely to have experienced anesthesia and were more likely to need microsurgery (all p < 0.001). Poor surgical planning and lack of informed consent were the most common errors on the part of the dentists.
Conclusions: An accurate evaluation of surgical indications and risk, good surgical technique, preoperative informed consent and sufficient postoperative follow-up should help to reduce the frequency of neurosensory deficits after dental treatment and attendant lawsuits.
MeSH Key Words: molar, third/surgery; postoperative complications; sensation; trigeminal nerve/injuriesReply to this article | View replies 
Full text provided in PDF format
|Mission Statement & Editor's Message |
Multimedia Centre |
Contact the Editor | Français