Pain complications of oral implants: Is that an issue?

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DOI

  • Paulo César Rodrigues Conti, Federal University of Sao Paulo, Sao Paulo
  • ,
  • Leonardo Rigoldi Bonjardim, Federal University of Sao Paulo, Sao Paulo, Department of Biosciences, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil
  • ,
  • Juliana Stuginski-Barbosa, Federal University of Sao Paulo, Sao Paulo
  • ,
  • Yuri Martins Costa
  • Peter Svensson

The use of oral implants as a form of replacing missing teeth in partial or total edentulous patients is considered the gold standard in oral rehabilitation. Although considered a history of success in contemporary dentistry, surgical complications may occur, as excessive bleeding, damage to the adjacent teeth and mandibular fractures. Persistent pain and abnormal somatosensory responses after the surgery ordinary healing time are also potential problems and may lead to the development of a condition named posttraumatic trigeminal neuropathic pain (PTNP). Though relatively rare, PTNP has a profound impact on patient's quality of life. Appropriated previous image techniques, effective anaesthetic procedures and caution during the surgical procedure and implant installation are recommended for the prevention of this condition. In case of the PTNP, different management modalities, including antidepressant and membrane stabilizer medications, as well as peripheral strategies, as the use of topical medication and the botulin toxin are presented and discussed.

Original languageEnglish
JournalJournal of Oral Rehabilitation
Volume48
Issue2
Pages (from-to)195-206
Number of pages12
ISSN0305-182X
DOIs
Publication statusPublished - Feb 2021

    Research areas

  • ATYPICAL ODONTALGIA, GRADING SYSTEM, INFERIOR ALVEOLAR NERVE, MENTAL NERVE, NEUROSENSORY DISTURBANCES, OROFACIAL PAIN, POSTSURGICAL PAIN, POSTTRAUMATIC NEUROPATHY, SUBSTANCE-P, TRIGEMINAL NEUROPATHIC PAIN, dental implants, neuropathic pain, post&#8208, surgical pain

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ID: 201125710