Lingual nerve and inferior alveolar nerve repair: diagnostic methods and surgical decision making

Abstract

The purpose of this presentation is to discuss both the continuing etiologies of lingual and inferior alveolar nerve injury in the setting of dental implant placement, orthognathic surgery, maxillofacial trauma, and benign and malignant ablative surgery and reconstruction. This symposium will introduce ongoing clinical findings and clinical / translational studies in peripheral nerve regeneration, treatment algorithms, and recommendations for immediate and delayed management of injuries to the lingual and inferior alveolar nerves. This presentation is intended to target practicing OMF surgeons and residents who wish to expand their knowledge of contemporary peripheral trigeminal nerve injury assessment and repair and understand contemporary management of the patient who sustains a lingual or inferior alveolar nerve injury.

Objectives

At the conclusion of this activity, the participants should be able to: (1) Institute preventative strategies for minimizing lingual and inferior alveolar nerve neurosensory disturbances; (2) Describe current clinical and translational regenerative peripheral nerve studies; and (3) Adapt and install new clinical algorithms that optimize referral and opportunities to regain functional sensory recovery.

Bio
Dr. Steed began his professional career at the Emory University School of Medicine in 2004 and was full time faculty there until 2013. He was the Emory Oral and Maxillofacial Surgery Residency Program Director from 2007 to 2013.  In 2013 he moved to his present position as Professor and James B Edward’s Chair of the Department of Oral and Maxillofacial Surgery at the Medical University of South Carolina within the James B. Edwards College of Dental Medicine. Dr. Steed is a consultant for the Committee on Dental Accreditation and a Board Director for the American Board of Oral and Maxillofacial Surgery (ABOMS). Dr. Steed’s clinical and research interests include microsurgical repair of peripheral trigeminal nerve injuries, virtual surgical planning/ simulation, orthognathic and maxillofacial trauma surgery outcome measurements, and surgical curriculum development and assessment.