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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

Section of the incisive nerve.
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fig5: Section of the incisive nerve.

Mentions: Installation of Implants. After the osteotomy, the cleavage of the buccal bone plate was performed with a Freer elevator, keeping the mental foramen in position. Then, the displacement of the mental foramen was performed with the Freer, and with Goldman Fox scissors the incisive nerve was severed (Figure 5). The cortical bone in the chin region emerging nerve was removed, and the displacement of the mental foramen was carried distally (Figure 6).


Lateralization Technique and Inferior Alveolar Nerve Transposition.

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

Section of the incisive nerve.
© Copyright Policy
Related In: Results  -  Collection

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

fig5: Section of the incisive nerve.
Mentions: Installation of Implants. After the osteotomy, the cleavage of the buccal bone plate was performed with a Freer elevator, keeping the mental foramen in position. Then, the displacement of the mental foramen was performed with the Freer, and with Goldman Fox scissors the incisive nerve was severed (Figure 5). The cortical bone in the chin region emerging nerve was removed, and the displacement of the mental foramen was carried distally (Figure 6).

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