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Inferior alveolar nerve lateralization and transposition for dental implant placement. Part I: a systematic review of surgical techniques.

Abayev B, Juodzbalys G - J Oral Maxillofac Res (2015)

Bottom Line: The articles were searched from January 1997 to July 2014 and comprised English-language articles that included adult patients between 18 and 80 years old with minimal residual bone above the mandibular canal who had undergone inferior alveolar nerve (IAN) repositioning with a minimum 6 months of follow-up.Implant treatment results and complications were presented.With careful pre-operative surgical and prosthetic planning, imaging, and extremely precise surgical technique, this procedure can be successfully used for implant placement in edentulous posterior mandibular segments.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Maxillofacial Surgery, Lithuanian University of Health Sciences, Kaunas Lithuania.

ABSTRACT

Objectives: The purpose of this first part of a two-part series was to review the literature concerning the indications, contraindications, advantages, disadvantages and surgical techniques of the lateralization and transposition of the inferior alveolar nerve, followed by the placement of an implant in an edentulous atrophic posterior mandible.

Material and methods: A comprehensive review of the current literature was conducted according to the PRISMA guidelines by accessing the NCBI PubMed and PMC database, academic sites and books. The articles were searched from January 1997 to July 2014 and comprised English-language articles that included adult patients between 18 and 80 years old with minimal residual bone above the mandibular canal who had undergone inferior alveolar nerve (IAN) repositioning with a minimum 6 months of follow-up.

Results: A total of 16 studies were included in this review. Nine were related to IAN transposition, 4 to IAN lateralization and 3 to both transposition and lateralization. Implant treatment results and complications were presented.

Conclusions: Inferior alveolar nerve lateralization and transposition in combination with the installation of dental implants is sometimes the only possible procedure to help patients to obtain a fixed prosthesis, in edentulous atrophic posterior mandibles. With careful pre-operative surgical and prosthetic planning, imaging, and extremely precise surgical technique, this procedure can be successfully used for implant placement in edentulous posterior mandibular segments.

No MeSH data available.


Related in: MedlinePlus

Schematic drawing showing the inferior alveolar neurovascular bundle transposition (A) and lateralization (B).
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fig4: Schematic drawing showing the inferior alveolar neurovascular bundle transposition (A) and lateralization (B).

Mentions: In this case, neither dissection of the terminal branches of the IAN nor sectioning of the incisor branch is needed. The technique involves the preparation of a cortical bone window (via osteotomy or drilling) that is located posterior to the mental foramen [27] (Figure 3 and Figure 4).


Inferior alveolar nerve lateralization and transposition for dental implant placement. Part I: a systematic review of surgical techniques.

Abayev B, Juodzbalys G - J Oral Maxillofac Res (2015)

Schematic drawing showing the inferior alveolar neurovascular bundle transposition (A) and lateralization (B).
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4414233&req=5

fig4: Schematic drawing showing the inferior alveolar neurovascular bundle transposition (A) and lateralization (B).
Mentions: In this case, neither dissection of the terminal branches of the IAN nor sectioning of the incisor branch is needed. The technique involves the preparation of a cortical bone window (via osteotomy or drilling) that is located posterior to the mental foramen [27] (Figure 3 and Figure 4).

Bottom Line: The articles were searched from January 1997 to July 2014 and comprised English-language articles that included adult patients between 18 and 80 years old with minimal residual bone above the mandibular canal who had undergone inferior alveolar nerve (IAN) repositioning with a minimum 6 months of follow-up.Implant treatment results and complications were presented.With careful pre-operative surgical and prosthetic planning, imaging, and extremely precise surgical technique, this procedure can be successfully used for implant placement in edentulous posterior mandibular segments.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Maxillofacial Surgery, Lithuanian University of Health Sciences, Kaunas Lithuania.

ABSTRACT

Objectives: The purpose of this first part of a two-part series was to review the literature concerning the indications, contraindications, advantages, disadvantages and surgical techniques of the lateralization and transposition of the inferior alveolar nerve, followed by the placement of an implant in an edentulous atrophic posterior mandible.

Material and methods: A comprehensive review of the current literature was conducted according to the PRISMA guidelines by accessing the NCBI PubMed and PMC database, academic sites and books. The articles were searched from January 1997 to July 2014 and comprised English-language articles that included adult patients between 18 and 80 years old with minimal residual bone above the mandibular canal who had undergone inferior alveolar nerve (IAN) repositioning with a minimum 6 months of follow-up.

Results: A total of 16 studies were included in this review. Nine were related to IAN transposition, 4 to IAN lateralization and 3 to both transposition and lateralization. Implant treatment results and complications were presented.

Conclusions: Inferior alveolar nerve lateralization and transposition in combination with the installation of dental implants is sometimes the only possible procedure to help patients to obtain a fixed prosthesis, in edentulous atrophic posterior mandibles. With careful pre-operative surgical and prosthetic planning, imaging, and extremely precise surgical technique, this procedure can be successfully used for implant placement in edentulous posterior mandibular segments.

No MeSH data available.


Related in: MedlinePlus