Local vs general anaesthesia in the development of neurosensory disturbances after mandibular third molars extraction : a retrospective study of 534 cases
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Local vs general anaesthesia in the development of neurosensory disturbances after mandibular third molars extraction : a retrospective study of 534 cases

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Local vs general anaesthesia in the development of neurosensory disturbances after mandibular third molars extraction : a retrospective study of 534 cases

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dc.contributor.author Costantinides, Fulvia es
dc.contributor.author Biasotto, Matteo es
dc.contributor.author Maglione, Michele es
dc.contributor.author Lenarda, Roberto Di es
dc.date.accessioned 2017-07-21T10:17:18Z
dc.date.available 2017-07-21T10:17:18Z
dc.date.issued 2016 es
dc.identifier.uri http://hdl.handle.net/10550/59781
dc.description.abstract The choice of the anaesthetic modality is one of the primary steps during planning of third molar surgery. The aim of the present study was to compare the risk of developing neurological injures of the inferior alveolar nerve (IAN) and lingual nerve (LN) in patients treated for wisdom teeth removal under general anaesthesia (GA) with a group treated under local anaesthesia (LA). This is an observational retrospective, unicentric study; between September 2013 and September 2014, 534 patients underwent third molar surgery, 194 (36,3%) under GA and 340 (63,7%) under LA by the same oral surgeon. Differences in the incidence of IAN and LN injures between groups have been statistically analyzed with Fisher exact test and estimated odd ratio for development of such complications has been calculated. In GA patients the incidence of IAN and LN injures was 4.6% and 2.1%, respectively while in the LA group it was and 0.3% and 0%, respectively. A significant difference in IAN and LN involvement between groups was observed (IAN lesion: Fisher exact test, p<0.001; LN lesions: Fisher exact test, p<0.05). The estimated odd ratio for development of IAN injures after GA was 16.49 (95% CI: 2.07-131.19) and was not calculable for LN injures because no cases were observed in the LA group. Since GA is a perioperative variable that seems to significantly increase the risk of developing IAN and LN lesions, when treating patients that request GA, they must be adequately informed that an higher incidence of post-surgical sensory disturbances is expected. es
dc.source Costantinides, Fulvia ; Biasotto, Matteo ; Maglione, Michele ; Lenarda, Roberto Di. Local vs general anaesthesia in the development of neurosensory disturbances after mandibular third molars extraction : a retrospective study of 534 cases. En: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, 21 6 2016: 5- es
dc.title Local vs general anaesthesia in the development of neurosensory disturbances after mandibular third molars extraction : a retrospective study of 534 cases es
dc.type info:eu-repo/semantics/article en
dc.type info:eu-repo/semantics/publishedVersion en
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/medoral.21238 es

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