Inferior alveolar nerve damage caused by bone wax in third molar surgery.
The authors present a case of inferior alveolar nerve morbidity attributable to use of bone wax to control haemorrhage during third molar surgery. The patient presented after 11 symptom-free years with parasthesia and, eventually pain in the cutaneous distribution of the right inferior alveolar nerve. Radiographs revealed a 1cm radiolucency consistent with a neuroma. Pathological examination of the surgically resected lesion revealed a foreign body reaction to bone wax. The case illustrates the poor resorption qualities of bone wax and the need for other haemostatic agents to achieve haemostasis in dentoalveolar surgery.
Katre
C
C
University Hospital Aintree, Liverpool, UK.
Triantafyllou
A
A
Shaw
R J
RJ
Brown
J S
JS
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D015745:Granuloma, Foreign-Body / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006490:Hemostatics / Q000009:adverse effects*; D006801:Humans; D008336:Mandibular Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D008964:Molar, Third / Q000601:surgery*; D009463:Neuroma / Q000175:diagnosis; D010168:Palmitates / Q000009:adverse effects*; D019106:Postoperative Hemorrhage / Q000209:etiology / Q000628:therapy; D014081:Tooth Extraction / Q000009:adverse effects*; D061221:Trigeminal Nerve Injuries; D014885:Waxes / Q000009:adverse effects*
D006490:Hemostatics; D010168:Palmitates; D014885:Waxes; C055480:bone wax