Risk of post-surgical inferior alveolar nerve injury in at-risk patients based on tomographic imaging features: Systematic review and Meta-analysis

Claudine Thereza-Bussolaro; Nathália Carolina Fernandes Fagundes; Cristine C. Stefani; Carlos Flores-Mir; Alexandre Meireles Borba

doi:10.1016/j.joms.2026.03.008

March 1, 2026Journal of Oral and Maxillofacial SurgeryOpen Access

Risk of post-surgical inferior alveolar nerve injury in at-risk patients based on tomographic imaging features: Systematic review and Meta-analysis

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Key Points

The aim is to evaluate the risk of inferior alveolar nerve injury based on tomographic imaging features in specific patients.
Conducted a systematic review of existing literature
Performed a meta-analysis to quantify risk
Analyzed tomographic factors such as mandibular canal position, shape, cortical status, and third molar morphology.
Identified significant variations in risk of IAN injury based on tomographic features.
Patients with specific anatomical factors faced higher risks of injury during surgery.

Implication

Systematic review estimates IAN injury risk in at-risk patients, highlighting importance for surgical planning.

Abstract

Background: Reported risk of inferior alveolar nerve (IAN) injury following mandibular third molar surgery varies widely and is typically presented without stratification by tomographic risk factors, limiting individualized risk assessment and surgical planning. Purpose:The purpose was to estimate the risk of IAN injury in at-risk patients according to tomographic factors, including mandibular canal (MC) position, MC shape, MC cortical status, and third molar morphology.

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Cite This Study

Thereza-Bussolaro et al. (2026) studied this question.

synapsesocial.com/papers/69b79e7c8166e15b153abdb3 https://doi.org/10.1016/j.joms.2026.03.008

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Risk of post-surgical inferior alveolar nerve injury in at-risk patients based on tomographic imaging features: Systematic review and Meta-analysis

Key Points

Implication

Abstract

Discussion

Cite This Study

Risk of post-surgical inferior alveolar nerve injury in at-risk patients based on tomographic imaging features: Systematic review and Meta-analysis

Key Points

Implication

Abstract

Discussion

Cite This Study

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