Lateralization of the Inferior Alveolar Nerve with Simultaneous Implant Placement: A Modified Technique

Michael Peleg, Ziv Mazor, Gavriel Chaushu, Arun K. Garg

Research output: Contribution to journalArticle

42 Scopus citations

Abstract

Purpose: Several nerve repositioning techniques have ben presented in the literature, each with limitations. This article presents a new technique involving the use of 2 osteotomies, with minimizes particularly the potential duration of sensory disruption and the risk of nerve paresthesia and inadvertent nerve transection or compression. Materials and Methods: Ten patients ranging in age from 47 to 67 years were selected for nerve lateralization utilizing the modified technique. A total of 23 cylindrical implants were placed. An average follow-up period was 29.8 months. Results: Of the 10 patients, 4 experienced total return of sensation within 3 to 4 weeks. One patient experienced complete recovery at 6 weeks. Discussion: Creating 2 osteotomies as described minimizes the chances for postoperative neuropraxia and nerve paresthesia or anesthesia. Conclusion: When there is moderate-to-severe bone resorption of the mandible posterior to the mental foramen, repositioning the inferior alveolar nerve using both an anterior and postetrior osteotomy allows for more bone to accomodate ideal placement and greater length of implant.

Original languageEnglish (US)
Pages (from-to)101-106
Number of pages6
JournalInternational Journal of Oral and Maxillofacial Implants
Volume17
Issue number1
StatePublished - Dec 1 2002

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Keywords

  • Dental implants
  • Inferior alveolar nerve
  • Nerve repositioning
  • Nerve transpositioning
  • Neurosensory disturbance

ASJC Scopus subject areas

  • Dentistry(all)

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