Somatosensory Evoked Potentials of Inferior Alveolar Nerve

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  • #9793
    tirath
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    The use of inferior alveolar nerve somatosensory evoked potentials may represent an objective means of evaluating sensory nerve function in the maxillofacial region. The aim of this work was to confirm the existence of a standard sequence of prominent events in the trigeminal somatosensory evoked potentials (TSEPs) of inferior alveolar nerve (IAN) waveform, examine those components and their normal variability by statistical analysis, and discuss TSEPs’ nervous origin and some patterns of TSEPs’ abnormalities due to dysfunctional nerves.
    TSEPs, obtained with the present technique, may represent an objective, low-invasive, and reliable way of testing sensory nerve function in the maxillofacial region.

    #14428
    sushantpatel_doc
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    What are the probable symptoms if we accidently impinge on the inf. alv. nerve while cleaning and shaping of canals?

    #14429
    tirath
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    definitley it will lead to paraesthesia

    #14430
    sushantpatel_doc
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    but for how long? and can irrigation with Na hypochlorite cause any damage to the nerve?

    #14431
    tirath
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    it may lead to hypochlorite accident whose symptoms are as follows……..

    During routine endodontic therapy, sodium hypochlorite inadvertently was forced out the apex of tooth. The patient experienced immediate severe pain, swelling, and hemorrhage from the canal access. Treatment was palliative, including patient education and reassurance, narcotic analgesics, cold and hot compresses, and multiple follow-up visits.

    #14432
    tirath
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    Treatment should center on the principles of minimizing swelling, controlling pain and preventing secondary infection. Reassuring the patient is of prime importance. Use of cold packs externally is recommended for the first one to two days to minimize edema. Once drainage is established, the cold packs should be replaced by warm compresses in an attempt to promote liquefaction of the hematoma and dissolution of the soft-tissue swelling. Pain control often requires narcotic analgesics. Appropriate antibiotic therapy is highly recommended for two reasons: the possibility of infection’s being forced from the root canals into the periapical tissues with the NaOCl irrigation, and the subcutaneous presence of significant amounts of necrotic tissue and dead space, which can promote secondary infection.

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