Psychological Assessment of Patients with Iatrogenic Trigeminal Nerve Injury Using Symptom Checklist-90-Revised

Mi-Sun Park, Byung-Yoon Roh, Jong-Mo Ahn, Chang-Lyuk Yoon, Ji-Won Ryu
2015 Journal of Oral Medicine and Pain  
Purpose: This study aims to assess the psychological characteristics of patients with iatrogenic damage of the trigeminal nerve using Symptom Checklist-90-Revised (SCL-90-R). Methods: A total of 22 patients who visited the clinic of Department of Oral Medicine, School of Dentistry, Chosun University were evaluated in the months from December 2012 to December 2014. Patients were included in the study if they presented with reported sensory changes due to iatrogenic trigeminal nerve injury. A
more » ... nerve injury. A total of 37 control group who has no symptoms of pain and sensory change were included in the study. All participants filled out the SCL-90-R instrument to assess psychosocial symptoms. Results: The T-scores of most of the SCL-90-R symptom dimensions were within normal range (less than 55) in the patients and the control group. The patients group showed higher T-scores of SCL-90-R than those of the control group, with statistically significance of somatization, anxiety, psychoticism, and positive symptoms distress. Female patients group had higher Tscores of SCL-90-R than those of male patients group, but there was no statistical difference, except for the positive symptom global index. The chronic patients group showed higher Tscores of SCL-90-R than those of the acute patients group, but there was no statistical difference, except for the Positive symptom global index. Conclusions: According to the psychological assessment of iatrogenic trigeminal nerve injury patients using SCL-90-R, the patients group, as compared to the control group shows a significantly higher score for somatization, anxiety, and psychoticism. Therefore, assessment of psychological state would be considered to treat patients with iatrogenic trigeminal nerve injury. This study was supported by research fund from Chosun University, 2013. surgery, impacted tooth extraction, tooth preparation mishaps, and endodontic treatment. 4) Permanent disturbed sensation was reported to occur in 1% to 8% of patients with dental implant placement, 5,6) 5% to 70% of patients who underwent orthognathic surgery, [7] [8] [9] and 0.3% to 1% of patients with third molar tooth extraction. [10] [11] [12] In addition, pain continues even after successful endodontic treatment in 3% to 13%, 13-15) because pricking of the needle during administration of local anesthesia can also result in damage to these nerves. 16 ) Iatrogenic damage to the trigeminal nerve causes hypoesthesia, anesthesia, Original Article JOMP Journal of Oral Medicine and Pain
doi:10.14476/jomp.2015.40.1.35 fatcat:qqa2jdz32rhllgqm44iy3343se