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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

Intermediate fill (autogenous and hydroxyapatite bone).
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fig18: Intermediate fill (autogenous and hydroxyapatite bone).

Mentions: The vestibular bone block was removed and particles were used to coat the turns and fill the window. Autogenous bone was put in contact with the exposed turns in the middle portion of the implants. Autogenous bone hydroxyapatite combined with bovine hydroxyapatite (Endobon, Biomet 3i, USA) was placed in an intermediate layer (Figure 17). At this point, the IAN was repositioned over the graft and a new layer of hydroxyapatite with autogenous bone was placed completely involving the nerve bundle (Figure 18). Filling out the window is finished using only bovine hydroxyapatite (Endobon, Biomet 3i, USA).


Lateralization Technique and Inferior Alveolar Nerve Transposition.

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

Intermediate fill (autogenous and hydroxyapatite bone).
© Copyright Policy
Related In: Results  -  Collection

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

fig18: Intermediate fill (autogenous and hydroxyapatite bone).
Mentions: The vestibular bone block was removed and particles were used to coat the turns and fill the window. Autogenous bone was put in contact with the exposed turns in the middle portion of the implants. Autogenous bone hydroxyapatite combined with bovine hydroxyapatite (Endobon, Biomet 3i, USA) was placed in an intermediate layer (Figure 17). At this point, the IAN was repositioned over the graft and a new layer of hydroxyapatite with autogenous bone was placed completely involving the nerve bundle (Figure 18). Filling out the window is finished using only bovine hydroxyapatite (Endobon, Biomet 3i, USA).

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