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MINERVA STOMATOLOGICA

A Journal on Dentistry and Maxillofacial Surgery


Official Journal of the Italian Society of Odontostomatology and Maxillofacial Surgery
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Minerva Stomatologica 2008 July-August;57(7-8):369-76

language: English, Italian

Surgical treatment of bifid mental nerve damaged by root canal therapy. A case report

Lorenzini G. 1, Viviano M. 1, Di Vece L. 1, Parrini S. 1, Autelitano L. 2, Biglioli F. 2

1 Oral Pathology Unit Department of Odontostomatology Policlinic Santa Maria de “Le Scotte” University of Siena, Siena, Italy
2 Maxillo-facial Surgery Unit San Paolo Hospital University of Milan, Milan, Italy


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This article describes the successful surgical treatment of a case of damage to the inferior alveolar nerve, due to inadvertent extrusion of endodontic material into the mandibular canal. The accident was favoured by an anatomical variant of the nerve canal ending with a double mental foramen, already described in the literature. The complex surgical operation of uncertain outcome was dictated by neuralgia refractory to medical treatment, rather than hypoesthesia associated with compression of the nerve trunk. Problems related to loss of sensitivity and possible causes of nerve damage (traumatic, pathological and iatrogenic) are discussed

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