Treatment of exposed inferior alveolar neurovascular bundle with PRF during surgical removal of impacted lower third molars

Authors

  • Nenad Tanaskovic Private Practice S-tetik, Banja Luka, 78000, Bosnia and Herzegovina

DOI:

https://doi.org/10.56939/DBR221048t

Keywords:

alveolar neurovascular bundle, platelet rich fibrin, PRF

Abstract

Surgery to remove impacted lower third molars involves risk for exposing the inferior alveolar neurovascular (IAN) bundle. The platelet rich fibrin (PRF) should be adequate to facilitate healing in self-contained defects and has been widely used in the oral and maxillofacial surgery. Therefore, we used PRF to treat patients whose IAN bundle was exposed during surgery. With a 98% chance of recovery at one-year post-surgery after treatment with PRF, seeing an exposed IAN bundle during impacted lower third molar removal surgery also suggests its close association with the third molar and poses a 20% risk of paresthesia. The use of PRF is such patients could support healing that can lead to promising result.

References

G. Monaco, G. De Santis, M. R. A. Gatto, G. Corinaldesi, and C. Marchetti, “Coronectomy: A surgical option for impacted third molars in close proximity to the inferior alveolar nerve,” J. Am. Dent. Assoc., vol. 143, no. 4, pp. 363–369, Apr. 2012, doi: 10.14219/jada.archive.2012.0178.

T. O. Robinson, “Paresthesia: A postoperative complication following removal of the mandibular third molar,” Am. J. Orthod. Oral Surg., vol. 26, no. 3, pp. 278–284, Mar. 1940, doi: 10.1016/S0096-6347(40)90182-X.

A. B. Bataineh, “Sensory nerve impairment following mandibular third molar surgery,” J. Oral Maxillofac. Surg., vol. 59, no. 9, pp. 1012–1017, 2001, doi: 10.1053/JOMS.2001.25827.

E. Valmaseda-Castellón, L. Berini-Aytés, and C. Gay-Escoda, “Inferior alveolar nerve damage after lower third molar surgical extraction: a prospective study of 1117 surgical extractions.,” Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod., vol. 92, no. 4, pp. 377–383, Oct. 2001, doi: 10.1067/MOE.2001.118284.

C. R. Brann, M. R. Brickley, and J. P. Shepherd, “Factors influencing nerve damage during lower third molar surgery,” Br. Dent. J., vol. 186, no. 10, pp. 514–516, May 1999, doi: 10.1038/SJ.BDJ.4800155.

D. Gülicher and K. L. Gerlach, “Sensory impairment of the lingual and inferior alveolar nerves following removal of impacted mandibular third molars,” Int. J. Oral Maxillofac. Surg., vol. 30, no. 4, pp. 306–312, 2001, doi: 10.1054/IJOM.2001.0057.

B. Naik, P. Karunakar, M. Jayadev, and V. Rahul Marshal, “Role of Platelet rich fibrin in wound healing: A critical review,” J. Conserv. Dent., vol. 16, no. 4, p. 284, Jul. 2013, doi: 10.4103/0972-0707.114344.

K. R. Kumar, K. Genmorgan, S. M. A. Rahman, M. A. Rajan, T. A. Kumar, and V. S. Prasad, “Role of plasma-rich fibrin in oral surgery,” J. Pharm. Bioallied Sci., vol. 8, no. Suppl 1, p. S36, Oct. 2016, doi: 10.4103/0975-7406.191963.

A. Saglanmak, C. Cinar, A. Gultekin, A. Saglanmak, C. Cinar, and A. Gultekin, “Platelet Rich Fibrin (PRF) Application in Oral Surgery,” Platelets, Jun. 2020, doi: 10.5772/INTECHOPEN.92602.

E. Gheno et al., “‘Sticky Bone’ Preparation Device: A Pilot Study on the Release of Cytokines and Growth Factors,” Materials (Basel)., vol. 15, no. 4, p. 1474, Feb. 2022, doi: 10.3390/MA15041474/S1.

J. Sambhav, R. Rohit, M. Ranjana, and M. Shalabh, “Platelet Rich Fibrin (Prf) and B-Tricalcium Phosphate With Coronally Advanced Flap for the Management of Grade-II Furcation Defect,” Ethiop. J. Health Sci., vol. 24, no. 3, p. 269, Jul. 2014, doi: 10.4314/EJHS.V24I3.11.

A. Simonpieri, J. Choukroun, M. Del Corso, G. Sammartino, and D. M. D. Ehrenfest, “Simultaneous sinus-lift and implantation using microthreaded implants and leukocyte- and platelet-rich fibrin as sole grafting material: a six-year experience,” Implant Dent., vol. 20, no. 1, pp. 2–12, 2011, doi: 10.1097/ID.0B013E3181FAA8AF.

D. M. Dohan Ehrenfest, G. M. de Peppo, P. Doglioli, and G. Sammartino, “Slow release of growth factors and thrombospondin-1 in Choukroun’s platelet-rich fibrin (PRF): a gold standard to achieve for all surgical platelet concentrates technologies,” Growth Factors, vol. 27, no. 1, pp. 63–69, 2009, doi: 10.1080/08977190802636713.

P. Anuroopa, P. Patil, R. Vinaya Kumar, and K. Kripal, “Role and Efficacy of L-PRFmatrix in the Regeneration of Periodontal Defect: A New Perspective,” J. Clin. Diagn. Res., vol. 8, no. 12, p. ZD03, Dec. 2014, doi: 10.7860/JCDR/2014/9240.5245.

Downloads

Published

2022-12-22

How to Cite

Tanaskovic, N. (2022). Treatment of exposed inferior alveolar neurovascular bundle with PRF during surgical removal of impacted lower third molars. International Journal of Dental Biomaterials Research, 1, 48–51. https://doi.org/10.56939/DBR221048t

Issue

Section

Articles