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Etiology and Prevention of Nerve Injuries

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Trigeminal Nerve Injuries

Abstract

Routine dental treatment procedures, surgical operations, and traumatic injuries to the oral and maxillofacial region often occur in close proximity to peripheral branches of the fifth (trigeminal) cranial nerve. Such clinical situations include local anesthetic injection, removal of teeth, placement of dental implants, ablative and reconstructive procedures, and fractures of facial bones, among many others, including endodontic therapy and orthognathic surgery. Such clinical situations include, among others, local anesthetic injections, removal of teeth, endodontic treatment, placement of dental implants, ablative, reconstructive and cosmetic operations, traumatic facial injuries, and orthognathic/craniomaxillofacial surgery. Despite the best of care, some nerve injuries are unavoidable; however, with careful planning, an excellent knowledge of regional anatomy and its possible variations, and modifications of surgical technique, the risk of injury to adjacent nerve structures may be reduced. In this chapter, the types of clinical scenarios that are associated with injuries to the peripheral branches of the trigeminal nerve will be presented, and measures that might be helpful in reducing these risks are discussed.

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Authors and Affiliations

  1. Department of Surgery, Northside Hospital, Atlanta, GA, USA

    Roger A. Meyer DDS, MS, MD, FACS & Shahrokh C. Bagheri DMD, MD, FACS

  2. Georgia Oral and Facial Surgery, 1880 West Oak Parkway, Suite 215, Marietta, GA, 30062, USA

    Roger A. Meyer DDS, MS, MD, FACS & Shahrokh C. Bagheri DMD, MD, FACS

  3. Department of Oral and Maxillofacial Surgery, Georgia Health Sciences University, Augusta, GA, USA

    Roger A. Meyer DDS, MS, MD, FACS & Shahrokh C. Bagheri DMD, MD, FACS

  4. Medicolegal Services, Maxillofacial Consultants, Ltd., 1021 Holt’s Ferry, Greensboro, GA, 30642, USA

    Roger A. Meyer DDS, MS, MD, FACS

  5. Eastern Surgical Associates and Consultants, 2795 Peachtree Rd, Suite 2008, Atlanta, GA, 30303, USA

    Shahrokh C. Bagheri DMD, MD, FACS

  6. Department of Surgery, Emory University, School of Medicine, Atlanta, GA, USA

    Shahrokh C. Bagheri DMD, MD, FACS

Authors
  1. Roger A. Meyer DDS, MS, MD, FACS
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  2. Shahrokh C. Bagheri DMD, MD, FACS
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Correspondence to Roger A. Meyer DDS, MS, MD, FACS .

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Editors and Affiliations

  1. , Oral and Maxillofacial Surgery, University of Illinois, S. Paulina St. MC 835 801, Chicago, 60612, Illinois, USA

    Michael Miloro

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Meyer, R.A., Bagheri, S.C. (2013). Etiology and Prevention of Nerve Injuries. In: Miloro, M. (eds) Trigeminal Nerve Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35539-4_3

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  • DOI: https://doi.org/10.1007/978-3-642-35539-4_3

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