Strategies for prevention and treatment of vascular and nerve injuries in mandibular anterior implant surgery
10.3724/zdxbyxb-2024-0256
- VernacularTitle:下颌前牙区种植术后血管神经损伤防治策略
- Author:
Haiying MA
1
;
Yiting LOU
;
Zheyuan SUN
;
Baixiang WANG
;
Mengfei YU
;
Huiming WANG
Author Information
1. 浙江大学医学院附属口腔医院 浙江大学口腔医学院 浙江省口腔疾病临床医学研究中心 浙江省口腔生物医学研究重点实验室 浙江大学癌症研究院 口腔生物材料与器械浙江省工程研究中心,浙江 杭州 310006
- Keywords:
Dental implant;
Mandibular anterior region;
Applied anatomy;
Bleeding;
Nerve injury;
Digital technologies;
Review
- From:
Journal of Zhejiang University. Medical sciences
2024;53(5):550-560
- CountryChina
- Language:Chinese
-
Abstract:
Important anatomical structures such as mandibular incisive canal,tongue foramen,and mouth floor vessels may be damaged during implant surgery in the mandibular anterior region,which may lead to mouth floor hematoma,asphyxia,pain,paresthesia and other symptoms.In severe cases,this can be life-threatening.The insufficient alveolar bone space and the anatomical variation of blood vessels and nerves in the mandibular anterior region increase the risk of blood vessel and nerve injury during implant surgery.In case of vascular injury,airway control and hemostasis should be performed,and in case of nerve injury,implant removal and early medical treatment should be performed.To avoid vascular and nerve injury during implant surgery in the mandibular anterior region,it is necessary to be familiar with the anatomical structure,take cone-beam computed tomography,design properly before surgery,and use digital technology during surgery to achieve accurate implant placement.This article summarizes the anatomical structure of the mandibular anterior region,discusses the prevention strategies of vascular and nerve injuries in this region,and discusses the treatment methods after the occurrence of vascular and nerve injuries,to provide clinical reference.
