Renton T, Hankins M, Sproate C, McGurk M . A randomised controlled clinical trial to compare the incidence of injury to the inferior alveolar nerve as a result of coronectomy and removal of mandibular third molars. Br J Oral Maxillofac Surg 2005; 43: 7–12. Complaints to the General Dental Council are predominantly related to implants and often involve IAN injury. Neuropathic pain can be very debilitating and when compounded by poor management may result in subsequent litigation. Litigation is often based on inadequate consent procedure, inadequate planning and assessment, causation of avoidable nerve injury and poor management of the patient once the nerve injury has occurred. Depending on your doctor’s policy and the Invisalign system you choose, these refinements might cost extra, raising your total cost of treatment. 5. Office Location

Making a clinical decision based on NICE guidelines regarding M3M extractions (ie do not undertake prophylactic surgery unless indicated) Improved adhesion and comfort - InvisiLift™ is designed with medical grade silicone that instantly lifts and tightens your breasts. Larrazábal C, García B, Peñarrocha M, Peñarrocha M . Influence of oral hygiene and smoking on pain and swelling after surgical extraction of impacted mandibular third molars. J Oral Maxillofac Surg 2010; 68: 43–46.

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Hillerup S . Iatrogenic injury to oral branches of the trigeminal nerve: records of 449 cases. Clin Oral Investig 2007; 11: 133–142. Epub. Hegedus F, Diecidue R J . Trigeminal nerve injuries after mandibular implant placement - practical knowledge for clinicians. Int J Oral Maxillofac Implants 2006: 21: 111–116. The incidence of lingual nerve injury related to third molar surgery, one day after surgery (excluding the use of lingual flap elevation) varies from 0.4% to 1.5%. 10 The incidence of persistent involvement (still present at six months) varies from 0.5% (with the use of a lingual flap) to a low of 0.0%. 14 The author uses a minimal access buccal approach (see Chapter 4 of the associated BDJ Clinical Guide) for M3Ms as lingual flap access surgery is associated with increased temporary lingual nerve injury (LNI). Causes of lingual nerve injury include dental local anaesthetic injections, intubation, ablative surgery and submandibular gland surgery. The most common cause of LNIs is third molar surgery, with a reported incidence of 1-20% temporary and 0-2% permanent. 9 Persistence of any peripheral sensory nerve injury depends on the severity of the injury, increased age of the patient, the time elapsed since the injury and the proximity of the injury to the cell body (the more proximal lesions having a poorer prognosis). There are specific features of trigeminal nerve injuries associated with dental procedure: Closed injuries Elian N, Mitsias M, Eskow R, Jalbout Z N, Cho S C, Froum S, Tarnow D P . Unexpected return of sensation following 4.5 years of paresthesia: case report. Implant Dent 2005; 14: 364–367.

Lago-Méndez L, Diniz-Freitas M, Senra-Rivera C, Gude-Sampedro F, Gándara Rey J M, García-García A. Relationships between surgical difficulty and postoperative pain in lower third molar extractions. J Oral Maxillofac Surg 2007; 65: 979–983.

Mason D A . Lingual nerve damage following lower third molar surgery. Int J Oral Maxillofac Surg 1988; 17: 290–294. Simon M A, Vree T B, Gielen M J, Booij M H . Comparison of the effects and disposition kinetics of Articaine and lidocaine in 20 patients undergoing intravenous regional anaesthesia during day case surgery. Pharm World Sci 1998; 20: 88–92. When your bra is completely dry, cover it with the original wrap. This will prevent dust and lint from accumulating on the adhesive. The better you take care of your bra, the longer it will last.