Evaluation of Neurosensory Deficits Following the use of computer assisted surgical guide for inferior alveolar nerve bypass versus inferior alveolar nerve lateralization : Randomized clinical trial / Ahmed Ibrahim Abdo Ahmed ; Supervised Hesham Abdelhakam , Ghada Abdelmenem
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- دراسة سريرية عشوائية : تقيم العجز العصبى الحسى التالى لاستخدام دليل جراحى لتجاوز العصب السفلى السنخى مقارنة بطريقة نقل العصب [Added title page title]
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قاعة الرسائل الجامعية - الدور الاول | المكتبة المركزبة الجديدة - جامعة القاهرة | Cai01.09.13.Ph.D.2020.Ah.E (Browse shelf(Opens below)) | Not for loan | 01010110082359000 | ||
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مخـــزن الرســائل الجـــامعية - البدروم | المكتبة المركزبة الجديدة - جامعة القاهرة | Cai01.09.13.Ph.D.2020.Ah.E (Browse shelf(Opens below)) | 82359.CD | Not for loan | 01020110082359000 |
Thesis (Ph.D.) - Cairo University - Faculty of Oral Dental Medicine - Department of Oral and Maxillofacial Surgery
Objective: To evaluate the accuracy of a surgical guide in placing an implant with IAN Bypassing method by evaluation of Neurosensory deficits of IAN. Methods: Twenty six partially edentulous patients were selected for this study and were equally grouped into 2 groups. In 1st group: implants placed by inferior alveolar nerve lateralization by piezosurgery, while in 2nd group: implants placed by a surgical guide to bypass the inferior alveolar nerve. Then the neurosensory deficits of IAN are evaluated by Patient Questionnaire, Lt, BSD, 2-P and Somatosensory evoked potential (SSEP), assessment occurred at period intervals pre-surgery, 2 weeks, 8 weeks & 24 weeks. Results: there was statistically significant difference between the IANL & IANB especially at the beginning but with time there was slight statistically significant difference. Also, SSEP method is considered more accurate than other subjective and conventional clinical methods Conclusion: Implant placement with a nerve lateralization by using a piezosurgery is considered safe, but with transient neurosensory deficits, but with a surgical guide constructed on 3D printed model from CBCT is more accurate and safer on IAN
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