Can it be neuropathy of anterior mandibular incisive canal?
Last Updated: Mar 27, 2017
I placed an implant with a bone graft in #27 site, 10 days ago. The patient returned 2 days later complaining of pain at the site and pain radiating to the mandibular posterior. I suspected infection and prescribed NSAID, steroids, antibiotics. The patient kept complaining of pain afterwards and finally I removed the bone graft at 10 days post-op. The site had a definite odor and I suspected an active infection. I debrided the site. The patient is still complaining of pain radiating to his mandibular posterior. I only did a mental nerve block and local infiltration for the surgery and graft. On the post-op CBCT scan it appears as though the apex of the implant fixture is impinging on the mandibular incisive canal. Could this be causing the pain? Should I remove the implant fixture?
2 Comments on Can it be neuropathy of anterior mandibular incisive canal?
TiKo
03/29/2017
Featured Products
Classic 50/50 Mix
Promotes osteoconduction
Provides structural integrity
Convenient Syringe!
50/50 Cortical/Cancellous
Available in 3 sizes.
Eliminate hassle of mixing particulate grafts
Sold in packs of 5 or packs of 10.
Proven safe, and clinically effective
Resorbable collagen membrane derived from purified porcine pericardium
Fast hydration and excellent tensile strength
Good adaptation to various defects
Excellent tear function and duration
100% allograft
Eliminates mixing hassle
Moldable after hydration
comlan Missih
03/28/2017