<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1729-519X</journal-id>
<journal-title><![CDATA[Revista Habanera de Ciencias Médicas]]></journal-title>
<abbrev-journal-title><![CDATA[Rev haban cienc méd]]></abbrev-journal-title>
<issn>1729-519X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de la Habana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1729-519X2018000500736</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Desórdenes neurosensoriales posextracción de terceros molares inferiores retenidos]]></article-title>
<article-title xml:lang="en"><![CDATA[Neurosensory disorders after removal of retained lower third molars]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerra Cobián]]></surname>
<given-names><![CDATA[Orlando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana Facultad de Estomatología &#8220;Raúl González Sánchez&#8221; ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2018</year>
</pub-date>
<volume>17</volume>
<numero>5</numero>
<fpage>736</fpage>
<lpage>749</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1729-519X2018000500736&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1729-519X2018000500736&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1729-519X2018000500736&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Los desórdenes neurosensoriales aparecen vinculados a la exéresis de terceros molares inferiores; su mal diagnóstico y tratamiento acarrean una larga permanencia de los mismos.  Objetivo:  Caracterizar desde el punto de vista clínico y terapéutico los desórdenes neurosensoriales asociados a la extracción quirúrgica de terceros molares inferiores retenidos.  Material y Método:  Se realizó un estudio cuasi-experimental en 136 pacientes sometidos a exéresis quirúrgica de terceros molares inferiores retenidos con criterios específicos de inclusión en la Facultad de Estomatología de La Habana, período 2016-2017. Los pacientes fueron intervenidos y examinados a los 3 y 10 días tras la intervención para identificar desórdenes neurosensoriales. Se emplearon 3 test diagnósticos para definir el nivel de función neurológica; se utilizó escala VAS para evaluar el nivel de sensibilidad del paciente, y el interrogatorio estandarizado para categorizar los tipos de desórdenes sensoriales. Se registraron las variables: edad, sexo, clase de retención, modificación de técnica quirúrgica y hallazgos neurosensoriales.  Resultados:  Presentó desórdenes neurosensoriales 3,5% de los pacientes; 2,1% del sexo femenino. La clase III, posición C, mesioangular fue la retención más vinculada con 2,1%. El nervio dentario inferior fue el más involucrado (2,1%) y la parestesia fue el hallazgo más frecuente (60%). El 60% de los desórdenes involucionaron a los 180 días.  Conclusiones:  Los desórdenes neurosensoriales vinculados a la exéresis de terceros molares inferiores registran una baja frecuencia en la población estudiada, predomina en el nervio dentario inferior, en retenciones clase III, posición B, mesioangular y se asocia más a técnicas con ostectomías y odontosecciones. La disestesia es la entidad más refractaria al tratamiento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Neurosensory disorders are linked to the removal of retained lower third molars; its misdiagnosis and poor treatment can lead to their long persistence.  Objective: To characterize neurosensory disorders associated with the removal of retained lower third molars from the clinical and therapeutic point of view.  Material and Method:  A quasi-experimental study was conducted in 136 patients with specific inclusion criteria who underwent surgical removal of retained lower third molars in the Dental Faculty of the University of Havana, between 2016-2017. The patients were operated on and examined 3 and 10 days after surgery to identify the presence of neurosensory disorders. Three types of diagnostic tests were used to define the level of neurological function. VAS Scale was used to evaluate the sensitivity level in the patient, and the standardized interview was made to categorize the type of neurosensory disorders. Variables such as age, sex, kind of retention, modification of surgical techniques, and neurosensory findings were recorded.  Results:  3,5% of patients had neurosensory disorders, 2,1% were female. Class III, position C, mesioangular was the most linked retention (2,1%). The inferior dental nerve was the most involved (2,1%), and paresthesia was the most frequent finding (60%). The 60 % of disorders recovered their normal function after 180 days.  Conclusions:  The appearance of neurosensory disorders linked to the removal of lower third molars presented a low frequency in the population studied, predominating in the inferior dental nerve, in class III retentions, Position B, mesioangular position; and they are more linked to the surgical techniques of ostectomies and odontosections. Dysesthesia is the most refractory to treatment.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Terceros molares inferiores retenidos]]></kwd>
<kwd lng="es"><![CDATA[tratamiento quirúrgico]]></kwd>
<kwd lng="es"><![CDATA[desórdenes neurosensoriales]]></kwd>
<kwd lng="es"><![CDATA[parestesia]]></kwd>
<kwd lng="es"><![CDATA[nervio dentario inferior]]></kwd>
<kwd lng="es"><![CDATA[nervio lingual]]></kwd>
<kwd lng="es"><![CDATA[cirugía bucal]]></kwd>
<kwd lng="en"><![CDATA[retained lower third molars]]></kwd>
<kwd lng="en"><![CDATA[surgical treatment]]></kwd>
<kwd lng="en"><![CDATA[neurosensory disorders]]></kwd>
<kwd lng="en"><![CDATA[paresthesia]]></kwd>
<kwd lng="en"><![CDATA[inferior dental nerve]]></kwd>
<kwd lng="en"><![CDATA[lingual nerve]]></kwd>
<kwd lng="en"><![CDATA[oral surgery]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gintaras]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Injury of the inferior alveolar nerve during implant placement: a literature review]]></article-title>
<source><![CDATA[J Oral Maxillofac Res]]></source>
<year>2011</year>
<volume>2</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wei-Quang W]]></surname>
<given-names><![CDATA[Chen M]]></given-names>
</name>
<name>
<surname><![CDATA[Li Huang H]]></surname>
<given-names><![CDATA[Jyh Fu]]></given-names>
</name>
<name>
<surname><![CDATA[Ming-Tzu T]]></surname>
<given-names><![CDATA[Jui-Ting H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[New quantitative classification of the anatomical relationship between impacted third molars and the inferior alveolar nerve]]></article-title>
<source><![CDATA[BMC Med Imaging]]></source>
<year>2015</year>
<volume>15</volume>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Deshpande]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Mahima]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Karthikeya]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Proximity of impacted mandibular third molars to the inferior alveolar canal and its radiographic predictors: A panoramic radiographic study]]></article-title>
<source><![CDATA[Journal Maxillof &amp; Oral Surgery]]></source>
<year>2013</year>
<volume>12</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>145-51</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Petersen]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Vaeth]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Wenzel]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Neurosensoric disturbances after surgical removal of the mandibular third molar based on either panoramic imaging or cone beam CT scanning: A randomized controlled trial (RCT)]]></article-title>
<source><![CDATA[British Institute Radiology]]></source>
<year>2016</year>
<volume>45</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ozen]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Orhan]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Ilker]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Efficacy of low level laser therapy on neurosensory recovery after injury to the inferior alveolar nerve]]></article-title>
<source><![CDATA[Head Face Med]]></source>
<year>2006</year>
<volume>2</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sarikov]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Gintaras]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Inferior alveolar nerve injury after mandibular third molar extraction: a literature review]]></article-title>
<source><![CDATA[J Oral Maxillofacial Res]]></source>
<year>2014</year>
<volume>5</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[La Monaca]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevention of neurological injuries during mandibular third molar surgery: technical notes]]></article-title>
<source><![CDATA[Ann Stomatol(Roma)]]></source>
<year>2017</year>
<volume>8</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>45-52</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Charan Babu]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Praveen]]></surname>
<given-names><![CDATA[BR]]></given-names>
</name>
<name>
<surname><![CDATA[Rajesh Kumar]]></surname>
<given-names><![CDATA[BP]]></given-names>
</name>
<name>
<surname><![CDATA[Desai]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Shubha]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factors influencing lingual nerve paraesthesia following third molar surgery: A prospective clinical study]]></article-title>
<source><![CDATA[J Maxillofac Oral Surg]]></source>
<year>2013</year>
<volume>12</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>168-72</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yadal]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Post-traumatic and postoperative neurosensory deficits of the inferior alveolar nerve in mandibular fracture: a prospective study]]></article-title>
<source><![CDATA[J Korean Assoc Maxillofac Surg]]></source>
<year>2016</year>
<volume>42</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>259-64</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Akashi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Hiraoka]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Hasegawa]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Komori]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Temporal evaluation of neurosensory complications after mandibular third molar extraction: Current problems for diagnosis and treatment]]></article-title>
<source><![CDATA[Open Dent J]]></source>
<year>2016</year>
<volume>10</volume>
<page-range>728-32</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gintaras]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Povilas]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Mandibular third molar impaction: Review of literature and a proposal of a classification]]></article-title>
<source><![CDATA[J Oral Maxillofac Res]]></source>
<year>2013</year>
<volume>4</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ridaura-Ruiz]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sensibility and taste alterations after impacted lower third molar extractions. A prospective cohort study]]></article-title>
<source><![CDATA[Med Oral Patol Oral Cir Bucal]]></source>
<year>2012</year>
<volume>17</volume>
<numero>5</numero>
<issue>5</issue>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Miloro]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[An anatomic study of the lingual nerve in the third molar region]]></article-title>
<source><![CDATA[Journal of Oral and Maxillofacial Surgery]]></source>
<year>2000</year>
<volume>58</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>652-3</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mavrodi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Influence of two different surgical techniques on the difficulty of impacted lower third molar extraction and their post-operative complications]]></article-title>
<source><![CDATA[Med Oral Patol Oral Cir Bucal]]></source>
<year>2015</year>
<volume>20</volume>
<numero>5</numero>
<issue>5</issue>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Raiesian]]></surname>
<given-names><![CDATA[SH]]></given-names>
</name>
<name>
<surname><![CDATA[Khani]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Khiabani]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Hemmati]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Pouretezad]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Assessment of low-level laser therapy effects after extraction of impacted lower third molar surgery]]></article-title>
<source><![CDATA[J Laser Med Sci]]></source>
<year>2017</year>
<volume>8</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>42-5</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
