title: Persistent pain and neurosensory disturbance after dental implant surgery: prevention and treatment.
abstract: Nerve trauma caused by dental implant placement is associated with altered sensation and chronic pain. Complete or partial loss of sensation is often reported by patients who have experienced nerve trauma during implant surgery. Some patients report persistent pain and neurosurgery disturbance long after the normal healing time has passed. In addition, neuropathic pain is reported after implant surgery. Practitioners who place dental implants must be familiar with the differential diagnosis, prevention, and management of neuropathic pain. This article provides insights into the prevention and management of neurosensory deficits and chronic persistent neuropathic pain and considerations for patient referral.
authors.affiliation: Division of Periodontology, Department of Oral Health Practice, University of Kentucky, College of Dentistry, 800 Rose Street, Lexington, KY 40536, USA. Electronic address: malsa2@email.uky.edu.
authors.forename: Mohanad
authors.initials: M
authors.lastname: Al-Sabbagh
authors.affiliation: Department of Oral Health Science, College of Dentistry, University of Kentucky, 800 Rose Street, Lexington, KY 40536, USA.
authors.forename: Jeffrey P
authors.initials: JP
authors.lastname: Okeson
authors.affiliation: Division of Restorative Dentistry, Department of Oral Health Practice, University of Kentucky, College of Dentistry, 800 Rose Street, Lexington, KY 40536, USA.
authors.forename: Elizangela
authors.initials: E
authors.lastname: Bertoli
authors.affiliation: UCSF Center for Orofacial Pain, 513 Parnassus Avenue, S-738, San Francisco, CA 94143-0476, USA.
authors.forename: Denielle C
authors.initials: DC
authors.lastname: Medynski
authors.affiliation: Private Practice, Orofacial Pain and Oral Medicine Division, Department of Head and Neck Surgery, Kaiser Permanente, 7300 Wyndham Street, Sacramento, CA 95823, USA.
authors.forename: Mohd W
authors.initials: MW
authors.lastname: Khalaf
mesh_terms: D059350:Chronic Pain / Q000517:prevention & control*; D003758:Dental Implantation, Endosseous / Q000009:adverse effects*; D015921:Dental Implants / Q000009:adverse effects*; D003937:Diagnosis, Differential; D006801:Humans; D008866:Microsurgery / Q000379:methods; D009437:Neuralgia / Q000517:prevention & control; D010149:Postoperative Pain / Q000517:prevention & control*; D010347:Patient Care Planning; D020886:Somatosensory Disorders / Q000517:prevention & control*; D061221:Trigeminal Nerve Injuries / Q000517:prevention & control*
chemical_list: D015921:Dental Implants
keywords: Implant; Management; Nerve injury; Neuropathic pain; Neurosensory; Prevention