title: Pain caused by a dental implant impinging on an accessory inferior alveolar canal: a case report.
abstract: This report presents a case history of intractable facial pain following the placement of a posterior mandibular implant. The pain was resistant to all medical management, but a cone beam computed tomography (CBCT) scan showed that the implant impinged on an unusual accessory inferior alveolar nerve. The decision to remove the implant led to significant pain reduction. This clinical example underscores the need for scrupulous imaging prior to implant placement.
authors.affiliation: Department of Maxillofacial Surgery, University College Hospital, Eastman Dental Institute, London, United Kingdom. armymaq@hotmail.com
authors.forename: Arman
authors.initials: A
authors.lastname: Maqbool
authors.forename: Ahmed Ali
authors.initials: AA
authors.lastname: Sultan
authors.forename: Gian Battista
authors.initials: GB
authors.lastname: Bottini
authors.forename: Colin
authors.initials: C
authors.lastname: Hopper
mesh_terms: D054893:Cone-Beam Computed Tomography / Q000379:methods; D003389:Cranial Nerve Diseases / Q000209:etiology; D003758:Dental Implantation, Endosseous / Q000009:adverse effects*; D015921:Dental Implants / Q000009:adverse effects*; D005157:Facial Pain / Q000209:etiology*; D005260:Female; D006801:Humans; D008340:Mandibular Nerve / Q000002:abnormalities*; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000209:etiology; D010148:Intractable Pain / Q000209:etiology*
chemical_list: D015921:Dental Implants