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Pain complications of oral implants: Is that an issue?
Author(s) -
Conti Paulo César Rodrigues,
Bonjardim Leonardo Rigoldi,
StuginskiBarbosa Juliana,
Costa Yuri Martins,
Svensson Peter
Publication year - 2021
Publication title -
journal of oral rehabilitation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.991
H-Index - 93
eISSN - 1365-2842
pISSN - 0305-182X
DOI - 10.1111/joor.13112
Subject(s) - medicine , rehabilitation , dentistry , trigeminal nerve , quality of life (healthcare) , treatment modality , neuropathic pain , gabapentin , modalities , surgery , anesthesia , physical therapy , alternative medicine , nursing , pathology , social science , sociology
Abstract 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.