Open Access. Powered by Scholars. Published by Universities.®

Medicine and Health Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

Articles 1 - 3 of 3

Full-Text Articles in Medicine and Health Sciences

Is There A "Safety Zone" In The Mandibular Premolar Region Where Damage To The Mental Nerve Can Be Avoided If Periapical Extrusion Occurs?, W.C. Ngeow Jun 2010

Is There A "Safety Zone" In The Mandibular Premolar Region Where Damage To The Mental Nerve Can Be Avoided If Periapical Extrusion Occurs?, W.C. Ngeow

Wei Cheong Ngeow

The mandibular premolars are located close to the mental foramina (Fig. 1). As such, various events affecting these teeth, such as odontogenic infection1 and orthodontic, endodontic, periodontal or surgical misadventure, may result in neurosensory disturbance of the mental nerves.2-4 In one retrospective study, the incidence of mental paresthesia resulting from periapical infection or pathology was 0.96%. In another 0.24% of cases in the same study, mental paresthesia was a complication of root canal treatment (caused by severe overfill in one case and iatrogenic perforation of mechanical instrumentation through the root and into the mental nerve in the second case).1 The …


Scar Less: A Review Of Methods Of Scar Reduction At Sites Of Peripheral Nerve Repair, W.C. Ngeow Mar 2010

Scar Less: A Review Of Methods Of Scar Reduction At Sites Of Peripheral Nerve Repair, W.C. Ngeow

Wei Cheong Ngeow

Scar formation is important for normal wound healing but proliferation of scar tissue from the epineurium in response to a nerve injury will result in impediment to the regenerating axons that need to traverse the repaired site. This article reviews the events that occur after peripheral nerve transection and the challenges that need to be addressed to reduce scarring in order to improve nerve regeneration. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109: 357-366)


Injection Of Botulinum Toxin Type A (Botox) Into Trigger Zone Of Trigeminal Neuralgia As A Means To Control Pain, W.C. Ngeow, R. Nair Feb 2010

Injection Of Botulinum Toxin Type A (Botox) Into Trigger Zone Of Trigeminal Neuralgia As A Means To Control Pain, W.C. Ngeow, R. Nair

Wei Cheong Ngeow

This article illustrates a case of persistent trigeminal neuralgia in a medically compromised 65-year-old female who did not respond to pharmacotherapy. She had undergone several peripheral neurectomies as well as a failed right posterior fossa exploration that resulted in a cerebrospinal fluid leak. Persistent pain over the right external nasal area and right mental region was relieved for several hours after daily injections of bupivacaine. A trial of a single dose of 100 units of botulinum toxin type A (BOTOX) diluted in 2.5 mL saline was injected into the external nasal trigger zone (60 units) and to the mental nerve …