Simplifying the assessment of the recovery from surgical injury to the lingual nerve.
OBJECTIVE
To determine the sensitivity of conventional sensory assessment in monitoring lingual nerve recovery subsequent to third molar surgery and to evaluate if the assessment methods can be predictive of injury outcome.


METHODS
A prospective case series of 94 patients presenting with lingual nerve injuries evaluated using objective mechanosensory and subjective methods during the recovery period of up to 12 months.


RESULTS
The conventional tests were often unable to diagnose the presence of injury due to variability and they were not predictive of outcome. As a result of this study, we are able to identify patients more likely to have permanent rather than temporary lingual nerve injury at four to eight weeks post injury, using patient reported subjective function. The subjective function test also minimises the requirements for specialist training or equipment providing an ideal method for general dental practice.


CONCLUSIONS
The development of these simple subjective tests may enable us to identify which patients are at risk of permanent lingual nerve injuries in the early post injury phase, thus allowing expeditious therapy when indicated.
Renton
T
T
Department of Oral Surgery, Dental Institute, King's College London, Denmark Hill Campus, Bessemere Rd, London SE5 9RW. tara.renton@kcl.ac.uk
Thexton
A
A
Crean
S-J
SJ
Hankins
M
M
D020209:Cranial Nerve Injuries / Q000175:diagnosis / Q000503:physiopathology*; D005500:Follow-Up Studies; D005544:Forecasting; D006801:Humans; D006930:Hyperalgesia / Q000175:diagnosis / Q000503:physiopathology; D006987:Hypesthesia / Q000175:diagnosis / Q000503:physiopathology; D007431:Intraoperative Complications; D008036:Lingual Nerve / Q000503:physiopathology; D061222:Lingual Nerve Injuries; D008465:Mechanoreceptors / Q000502:physiology; D008964:Molar, Third / Q000601:surgery; D009437:Neuralgia / Q000175:diagnosis / Q000503:physiopathology; D017288:Pain Threshold / Q000502:physiology; D010292:Paresthesia / Q000175:diagnosis / Q000503:physiopathology; D011237:Predictive Value of Tests; D011446:Prospective Studies; D020127:Recovery of Function / Q000502:physiology*; D012677:Sensation / Q000502:physiology*; D012684:Sensory Thresholds / Q000502:physiology; D013650:Taste Buds / Q000473:pathology; D014059:Tongue / Q000294:innervation; D014110:Touch / Q000502:physiology