Maxillofac Plast Reconstr Surg.  2015 May;37(5):13. 10.1186/s40902-015-0013-5.

The quantitative sensory testing is an efficient objective method for assessment of nerve injury

Affiliations
  • 1Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, Gyeonggi, South Korea.
  • 2Department of Dentistry, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 137-701, Republic of Korea. cmfs21@yahoo.com

Abstract

BACKGROUND
This study evaluated Somatosensory evoked potentials (SEP), Quantitative sensory testing (QST), and thermography as diagnostic methods for nerve injury.
METHODS
From 2006 through 2011, 17 patients (mean age: 50.1 years) from OOOO Hospital who sought care for altered sensation after dental implant treatment were identified. The mean time of objective assessment was 15.2 months after onset.
RESULTS
SEP of Inferior alveolar nerve(IAN) was 15.87 +/- 0.87 ms on the normal side and 16.18 +/- 0.73 ms on the abnormal side. There was delayed N20 latency on the abnormal side, but the difference was not statistically significant. In QST, the abnormal side showed significantly higher scores of the current perception threshold at 2 KHz, 250 Hz, and 5 Hz. The absolute temperature difference was 0.55degrees C without statistically significance.
CONCLUSION
These results indicate that QST is valuable as an objective method for assessment of nerve injury.

Keyword

Nerve injury; Somatosensory Evoked Potentials; Quantitative Sensory Testing; Thermography

MeSH Terms

Dental Implants
Evoked Potentials, Somatosensory
Humans
Sensation
Thermography
Dental Implants
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