ISBN 978-93-5547-335-6 (Print)
ISBN 978-93-5547-357-8 (eBook)
DOI: 10.9734/bpi/mono/978-93-5547-335-6

We the authors are glad to bring out this book which will comprehensively help the clinicians in performing neurosurgical evaluation of maxillofacial complex. The book will provide innovative way of utilizing available resources to the best of their outcome. The methods that are beautifully illustrated will help the clinician in documenting neurosensory status with great ease and not utilizing valuable clinical time. We are sanguine that the readers will be benefitted and will further amply the knowledge so that a lot can be explored on this scantly practiced area. The evaluation holds good for pre and post cases of planned surgeries such as trauma, orthognathic surgeries and other aesthetic hard and soft tissue procedures.

It is with great enthusiasm and positive anticipation that we publish this edition with updated information. It is hoped that all readers, globally will find within its content the clinical skill and expertise on the said topic and also act as inspiration and help us improve better!


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Neurosensory Evaluation of the Inferior Alveolar Nerve: Must Know in Dental Office

Vishal Kulkarni, N. K. Sahoo

Neurosensory Evaluation of the Inferior Alveolar Nerve: Must Know in Dental Office, 21 December 2021, Page 1-25

Mandible receives maximum impact during trauma making it the most widely recognised form of fracture after its sustenance. Owing to varied information worldwide exact data acquisition is hard. Nevertheless, primary aetiology seems to be vehicular mishaps (43%) trailed by assaults, occupational, falls and sports related. More slender anatomy with biomechanically altering musculature alters fracture propogation mechanism. Encasement of inferior alveolar nerve (IAN) may get infringed and lead to loss of sensation in chin and lip area. Reports indicate a IAN deficit of 5.7%-58.5% pre-treatment and 04%-91.3% post-osteosynthesis. There are some gold standard testing algorithms (Zuniga and Essick; modified British medical research scale) later modified by Mackinnon-Dalon for Trigeminal nerves. These are seldom used in practice. Be that as it may, a robust modification for routine examination is needed. The following texts have tried to envisage the use of local equipments and materials that are available easily in our dental office and can be utilized for neurosensory evaluation. This proves economical, speedy yet efficient in documentation of neurosensory stauts of IAN.