Dental Implant Nerve Damage During surgery
Dental Implant Nerve Damage is a known risk for dental implant surgery. It can occur at several different stages of the dental implant procedure. Diagnosing the cause of the injury is very important for how you treat the injury.
Dental Implant Nerve Damage Description and classification is found below
Best to start with some terminology to help define the injury.
Dental Implant Nerve Damage After surgery protocols
Refer microneurosurgeon immediate if implant transected nerve and in 2-6 months if know not into nerve (before one year is when microsurgery should be done) ask OS for guidance
If known traction or compression then remove implant and inject 2ml Dexamethasone (4mg/ml).
3 months is a good time and can expect 50-60% patients to have perceived improvement. Here is a list of studies on microneurosurgery.
Take a post CBCT. There is another post on the neurosensory examination and tests.
Remove implant, bone screw, plate, or whatever is approximating nerve. A shorter can be placed at same time.
Ice pack usage intensely for 24 hours and continue occasional use for one week.
NSAIDs and DexPak 6 day TaperPak
Photobiomodulation may be an effective treatment. Grissom JOE 2023
Misch and Resnik paper of post management