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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

Placement of absorbable membrane.
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fig9: Placement of absorbable membrane.

Mentions: Bone Grafting and Suture. The vestibular bone block was removed particles for coating the turns and fill the window. Only placed autogenous bone was in contact with the exposed turns in the middle portion of the implants. On this layer was placed autogenous bone combined with bovine hydroxyapatite (Endobon®, Biomet 3i, USA). At this time, the mental foramen rested in the distal region of the posterior implant, and thus the IAN was seated on this bed (Figure 8). The protection of the graft was performed with an absorbable membrane (OsseoGuard™, Biomet 3i, USA) (Figure 9). After that, the flap was sutured using 3-0 silk thread (Ethicon®) and 5-0 nylon thread (Ethicon) in the relaxing incisions (Figure 10).


Lateralization Technique and Inferior Alveolar Nerve Transposition.

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

Placement of absorbable membrane.
© Copyright Policy
Related In: Results  -  Collection

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

fig9: Placement of absorbable membrane.
Mentions: Bone Grafting and Suture. The vestibular bone block was removed particles for coating the turns and fill the window. Only placed autogenous bone was in contact with the exposed turns in the middle portion of the implants. On this layer was placed autogenous bone combined with bovine hydroxyapatite (Endobon®, Biomet 3i, USA). At this time, the mental foramen rested in the distal region of the posterior implant, and thus the IAN was seated on this bed (Figure 8). The protection of the graft was performed with an absorbable membrane (OsseoGuard™, Biomet 3i, USA) (Figure 9). After that, the flap was sutured using 3-0 silk thread (Ethicon®) and 5-0 nylon thread (Ethicon) in the relaxing incisions (Figure 10).

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