Implants, Inferior Alveolar Approximation
Conditions
Keywords
inferior alveolar nerve, implants
Brief summary
o evaluate the radiologic proximity of mandibular dental implants placed less than 2 mm from the inferior alveolar canal using cone-beam computed tomography (CBCT), and to determine the relationship between implant-canal distance and the occurrence of postoperative neurosensory disturbances.
Interventions
implants placed with distance more than 2 mm from the inferior alveolar canal
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age ≥ 21 years. 2. Implants placed in mandibular first/second premolar or molar positions (Froum et al., 2021). 3. Patients without neurosensory changes following implant placement and healing (Froum et al., 2021). 4. Patients with neurosensory changes after implant placement, including paresthesia, anesthesia, dysesthesia (and neuralgia where applicable) (Froum et al., 2021).
Exclusion criteria
1. Incomplete records preventing outcome ascertainment (Froum et al., 2021). 2. Refusal/unavailability of postoperative CBCT when clinically required for evaluation (Froum et al., 2021). 3. Poor-quality CBCT scans or scatter artifacts interfering with evaluation (Froum et al., 2021). 4. Contraindications for radiographs (e.g., pregnancy/breastfeeding) in cases where additional imaging would otherwise be clinically required (Froum et al., 2021). 5. Implants placed after mental foramen
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Neurosensory outcome | 6 months | presence/absence of neurosensory changes after implant placement, classified as reported in records (none, paresthesia, anesthesia, dysesthesia, neuralgia) |