Int J Stomatol

Int J Stomatol ›› 2024, Vol. 51 ›› Issue (4): 489-497.doi: 10.7518/gjkq.2024072

• Reviews • Previous Articles    

Research progress on diagnosis and management of post-exodontic lingual nerve dysfunction

Lichao Gao1(),Chang Liu2,3,Yuntong Liu1,Yuxue Luo2,Yubin Cao2,Chengge Hua1,2()   

  1. 1.State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of General Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
    2.State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Oral Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
    3.State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Information Management, West China School of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2023-10-25 Revised:2024-03-10 Online:2024-07-01 Published:2024-06-24
  • Contact: Chengge Hua E-mail:gaolc77@163.com;huacg@163.com

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Abstract:

Lingual nerve dysfunction (LND) belongs to the complications resulting from tooth extraction surgery. This condition is mainly characterized by abnormal sensations, such as numbness and tingling of the ipsilateral lingual nerve innervation area, with or without decreased/loss of taste. The symptoms of LND can be evoked or improved through frequent movements of the tongue and excessive local stimulation. LND poses negative effects, which are usually intolerable, on the quality of life and psychology of patients. Such condition prompts patients to seek medical assistance to alle-viate or eliminate their discomfort. LND is caused by complex conditions and involves diverse clinical manifestations. Despite the progress of nerve reconstruction techniques, the mechanism underlying the functional recovery of lingual nerve remains incompletely understood, and the treatment effect is still unpredictable. Therefore, the risk prediction, syndrome assessment, treatment, and prognosis of LND still present a challenge to dentists and clinicians. This article reviews the research progress on LND, including its etiology, manifestations, clinical evaluation, treatment methods (including nonsurgical and surgical treatment methods), and prognosis.

Key words: the third molar, tooth extraction, complications, lingual nerve, nerve dysfunction, nerve repair

CLC Number: 

  • R782.1

TrendMD: 
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