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Lateralization Technique and Inferior Alveolar Nerve Transposition.

Pimentel AC, Sanches MA, Ramalho GC, Roman-Torres CV, Manzi MR, Sendyk WR - Case Rep Dent (2016)

Bottom Line: Bone resorption of the posterior mandible can result in diminished bone edge and, therefore, the installation of implants in these regions becomes a challenge, especially in the presence of the mandibular canal and its contents, the inferior alveolar nerve.The aim was to elucidate the success rate of implants in the lateralization technique and in inferior alveolar nerve transposition and to determine the most effective sensory test.We conclude that the success rate is linked to the possibility of installing implants with long bicortical anchor which favors primary stability and biomechanics.

View Article: PubMed Central - PubMed

Affiliation: Department of Post Graduation, Division of Implantology, School of Dentistry, University of Santo Amaro (UNISA), Sao Paulo, SP, Brazil.

ABSTRACT
Bone resorption of the posterior mandible can result in diminished bone edge and, therefore, the installation of implants in these regions becomes a challenge, especially in the presence of the mandibular canal and its contents, the inferior alveolar nerve. Several treatment alternatives are suggested: the use of short implants, guided bone regeneration, appositional bone grafting, distraction osteogenesis, inclined implants tangential to the mandibular canal, and the lateralization of the inferior alveolar nerve. The aim was to elucidate the success rate of implants in the lateralization technique and in inferior alveolar nerve transposition and to determine the most effective sensory test. We conclude that the success rate is linked to the possibility of installing implants with long bicortical anchor which favors primary stability and biomechanics.

No MeSH data available.


Related in: MedlinePlus

Incision and divulsion.
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fig1: Incision and divulsion.

Mentions: Incision and Divulsion. A crestal incision (15C scalpel blade) was performed in the retromolar trigone region to the neck of tooth 44, followed by an intrasulcular incision on the same tooth and a horizontal incision between teeth 44 and 43, maintaining their papilla, and ending with a relaxing incision in the distal tooth 43 and the distal end of crestal incisions buccally. The flap was carefully and completely removed in the right mental foramen region where the periosteum is performed in the lower region of the mental foramen, extending to the base of the jaw (Figure 1).


Lateralization Technique and Inferior Alveolar Nerve Transposition.

Pimentel AC, Sanches MA, Ramalho GC, Roman-Torres CV, Manzi MR, Sendyk WR - Case Rep Dent (2016)

Incision and divulsion.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4940526&req=5

fig1: Incision and divulsion.
Mentions: Incision and Divulsion. A crestal incision (15C scalpel blade) was performed in the retromolar trigone region to the neck of tooth 44, followed by an intrasulcular incision on the same tooth and a horizontal incision between teeth 44 and 43, maintaining their papilla, and ending with a relaxing incision in the distal tooth 43 and the distal end of crestal incisions buccally. The flap was carefully and completely removed in the right mental foramen region where the periosteum is performed in the lower region of the mental foramen, extending to the base of the jaw (Figure 1).

Bottom Line: Bone resorption of the posterior mandible can result in diminished bone edge and, therefore, the installation of implants in these regions becomes a challenge, especially in the presence of the mandibular canal and its contents, the inferior alveolar nerve.The aim was to elucidate the success rate of implants in the lateralization technique and in inferior alveolar nerve transposition and to determine the most effective sensory test.We conclude that the success rate is linked to the possibility of installing implants with long bicortical anchor which favors primary stability and biomechanics.

View Article: PubMed Central - PubMed

Affiliation: Department of Post Graduation, Division of Implantology, School of Dentistry, University of Santo Amaro (UNISA), Sao Paulo, SP, Brazil.

ABSTRACT
Bone resorption of the posterior mandible can result in diminished bone edge and, therefore, the installation of implants in these regions becomes a challenge, especially in the presence of the mandibular canal and its contents, the inferior alveolar nerve. Several treatment alternatives are suggested: the use of short implants, guided bone regeneration, appositional bone grafting, distraction osteogenesis, inclined implants tangential to the mandibular canal, and the lateralization of the inferior alveolar nerve. The aim was to elucidate the success rate of implants in the lateralization technique and in inferior alveolar nerve transposition and to determine the most effective sensory test. We conclude that the success rate is linked to the possibility of installing implants with long bicortical anchor which favors primary stability and biomechanics.

No MeSH data available.


Related in: MedlinePlus