Incidence of lingual nerve damage following surgical extraction of mandibular third molars with lingual flap retraction:  A systematic review and meta-analysis

Joshua Lee; Boxi Feng; Joon Soo Park; Magdalen Foo; Estie Kruger

doi:10.1371/journal.pone.0282185

Incidence of lingual nerve damage following surgical extraction of mandibular third molars with lingual flap retraction: A systematic review and meta-analysis

Joshua Lee^* (Corresponding Author), Boxi Feng, Joon Soo Park, Magdalen Foo, Estie Kruger

^*Corresponding author for this work

Applied Health Sciences

Research output: Contribution to journal › Article › peer-review

5 Citations (Scopus)

Abstract

This systematic review and meta-analysis aimed to examine more recent data to determine the extent of lingual nerve injury (LNI) following the surgical extraction of mandibular third molars (M3M). A systematic search of three databases [PubMed, Web of Science and OVID] was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The inclusion criteria encompassed studies on patients who underwent surgical M3M extraction using the buccal approach without lingual flap retraction (BA-), buccal approach with lingual flap retraction (BA+), and lingual split technique (LS). The outcome measures expressed in LNI count were converted to risk ratios (RR). Twenty-seven studies were included in the systematic review, nine were eligible for meta-analysis. Combined RR for LNI (BA+ versus BA-) was 4.80 [95% Confidence Interval:3.28–7.02; P

Original language	English
Article number	e0282185
Journal	PloS ONE
Volume	18
Issue number	2 February
DOIs	https://doi.org/10.1371/journal.pone.0282185
Publication status	Published - 27 Feb 2023

Bibliographical note

Funding Information:
The authors would like to thank Winthrop Professor Marc Tennant from the University of Western Australia, for his support and guidance. J.L. and B.F. were part of the KASP pro-gramme of 2020.

Acknowledgments
The authors would like to thank Winthrop Professor Marc Tennant from the University of Western Australia, for his support and guidance. J.L. and B.F. were part of the KASP programme of 2020.

Data Availability Statement

The data are all contained within the paper and its Supporting information file.

Keywords

Humans
Incidence
Lingual Nerve
Lingual Nerve Injuries/epidemiology
Molar, Third/surgery
Tongue

Access to Document

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© 2023 Lee et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Final published version, 0.98 MBLicence: CC BY

Cite this

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abstract = "This systematic review and meta-analysis aimed to examine more recent data to determine the extent of lingual nerve injury (LNI) following the surgical extraction of mandibular third molars (M3M). A systematic search of three databases [PubMed, Web of Science and OVID] was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The inclusion criteria encompassed studies on patients who underwent surgical M3M extraction using the buccal approach without lingual flap retraction (BA-), buccal approach with lingual flap retraction (BA+), and lingual split technique (LS). The outcome measures expressed in LNI count were converted to risk ratios (RR). Twenty-seven studies were included in the systematic review, nine were eligible for meta-analysis. Combined RR for LNI (BA+ versus BA-) was 4.80 [95% Confidence Interval:3.28–7.02; P",

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