Effect of vitamin B complex administration on pain and sensory problems related to inferior alveolar nerve damage following mandibular implant placement surgery
Background. Inferior alveolar nerve damage can lead to mild to severe paresthesia and even facial pain. One of the treatments considered today for the reconstruction and treatment of damaged peripheral nerves is the use of vitamin supplements. This study aimed to evaluate the effect of vitamin B com...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Tabriz University of Medical Sciences
2022-06-01
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| Series: | Journal of Advanced Periodontology and Implant Dentistry |
| Subjects: | |
| Online Access: | https://japid.tbzmed.ac.ir/PDF/japid-14-13.pdf |
| _version_ | 1828095381981888512 |
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| author | Shima Ghasemi Amirreza Babaloo Mehrnoosh Sadighi Zeinab Torab Hamidreza Mohammadi Elshan Khodadust |
| author_facet | Shima Ghasemi Amirreza Babaloo Mehrnoosh Sadighi Zeinab Torab Hamidreza Mohammadi Elshan Khodadust |
| author_sort | Shima Ghasemi |
| collection | DOAJ |
| description | Background. Inferior alveolar nerve damage can lead to mild to severe paresthesia and even facial pain. One of the treatments considered today for the reconstruction and treatment of damaged peripheral nerves is the use of vitamin supplements. This study aimed to evaluate the effect of vitamin B complex supplementation on pain and sensory problems following mandibular implant placement surgery. Methods. In this single-blind clinical trial, 46 patients applying for implant placement, who were eligible for the study, were evaluated. All the patients were examined for sensory facial injury and inferior alveolar nerve injury within 24 hours after implant placement. The nerve damage was recorded by AI (asymmetry index) in the initial examination. Patients who reported clinical and radiographic signs of nerve damage due to implant or drill impingement of the nerve canal were excluded from the study and promptly treated with anti-inflammatory protocols. Then the patients were randomly divided into control (n=23) and intervention (n=23) groups. Patients in the control group received routine treatment after implantation, and patients in the intervention group received vitamin B complex pills in addition to routine treatment. A placebo was used to eliminate the inductive effect of the drug in the control group. Follow-up of patients was performed at intervals of 14 days and 1, 2, and 3 months after treatment. Data analysis was performed using SPSS 24 and Kruskal-Wallis, Wilcoxon, and chi-squared tests. Results. In both groups, a decreasing trend in pain intensity was observed for up to three months. There were no significant differences between the mean pain intensity in the intervention and control groups at all the follow-up intervals. In both groups, a decrease in the rate of paresthesia was observed during the 3-month follow-up. The mean of paresthesia in the two groups was not significantly different at any follow-up interval. Conclusion. Vitamin B complex might not affect pain intensity and paresthesia after implant surgery. |
| first_indexed | 2024-04-11T07:11:40Z |
| format | Article |
| id | doaj.art-e055ea8d25c64b21bdef7fd06696ec44 |
| institution | Directory Open Access Journal |
| issn | 2645-5390 |
| language | English |
| last_indexed | 2024-04-11T07:11:40Z |
| publishDate | 2022-06-01 |
| publisher | Tabriz University of Medical Sciences |
| record_format | Article |
| series | Journal of Advanced Periodontology and Implant Dentistry |
| spelling | doaj.art-e055ea8d25c64b21bdef7fd06696ec442022-12-22T04:38:10ZengTabriz University of Medical SciencesJournal of Advanced Periodontology and Implant Dentistry2645-53902022-06-01141131910.34172/japid.2022.007japid-1167Effect of vitamin B complex administration on pain and sensory problems related to inferior alveolar nerve damage following mandibular implant placement surgeryShima Ghasemi0Amirreza Babaloo1Mehrnoosh Sadighi2Zeinab Torab3Hamidreza Mohammadi4Elshan Khodadust5Department of Prosthodontics, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Periodontics, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Periodontics, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Pediatric Dentistry, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Periodontics, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, IranPrivate Practic, Isfahan, IranBackground. Inferior alveolar nerve damage can lead to mild to severe paresthesia and even facial pain. One of the treatments considered today for the reconstruction and treatment of damaged peripheral nerves is the use of vitamin supplements. This study aimed to evaluate the effect of vitamin B complex supplementation on pain and sensory problems following mandibular implant placement surgery. Methods. In this single-blind clinical trial, 46 patients applying for implant placement, who were eligible for the study, were evaluated. All the patients were examined for sensory facial injury and inferior alveolar nerve injury within 24 hours after implant placement. The nerve damage was recorded by AI (asymmetry index) in the initial examination. Patients who reported clinical and radiographic signs of nerve damage due to implant or drill impingement of the nerve canal were excluded from the study and promptly treated with anti-inflammatory protocols. Then the patients were randomly divided into control (n=23) and intervention (n=23) groups. Patients in the control group received routine treatment after implantation, and patients in the intervention group received vitamin B complex pills in addition to routine treatment. A placebo was used to eliminate the inductive effect of the drug in the control group. Follow-up of patients was performed at intervals of 14 days and 1, 2, and 3 months after treatment. Data analysis was performed using SPSS 24 and Kruskal-Wallis, Wilcoxon, and chi-squared tests. Results. In both groups, a decreasing trend in pain intensity was observed for up to three months. There were no significant differences between the mean pain intensity in the intervention and control groups at all the follow-up intervals. In both groups, a decrease in the rate of paresthesia was observed during the 3-month follow-up. The mean of paresthesia in the two groups was not significantly different at any follow-up interval. Conclusion. Vitamin B complex might not affect pain intensity and paresthesia after implant surgery.https://japid.tbzmed.ac.ir/PDF/japid-14-13.pdfdental implantsnerve injuryvitamin b complex |
| spellingShingle | Shima Ghasemi Amirreza Babaloo Mehrnoosh Sadighi Zeinab Torab Hamidreza Mohammadi Elshan Khodadust Effect of vitamin B complex administration on pain and sensory problems related to inferior alveolar nerve damage following mandibular implant placement surgery Journal of Advanced Periodontology and Implant Dentistry dental implants nerve injury vitamin b complex |
| title | Effect of vitamin B complex administration on pain and sensory problems related to inferior alveolar nerve damage following mandibular implant placement surgery |
| title_full | Effect of vitamin B complex administration on pain and sensory problems related to inferior alveolar nerve damage following mandibular implant placement surgery |
| title_fullStr | Effect of vitamin B complex administration on pain and sensory problems related to inferior alveolar nerve damage following mandibular implant placement surgery |
| title_full_unstemmed | Effect of vitamin B complex administration on pain and sensory problems related to inferior alveolar nerve damage following mandibular implant placement surgery |
| title_short | Effect of vitamin B complex administration on pain and sensory problems related to inferior alveolar nerve damage following mandibular implant placement surgery |
| title_sort | effect of vitamin b complex administration on pain and sensory problems related to inferior alveolar nerve damage following mandibular implant placement surgery |
| topic | dental implants nerve injury vitamin b complex |
| url | https://japid.tbzmed.ac.ir/PDF/japid-14-13.pdf |
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