Neurosensory function following mandibular nerve lateralization for placement of implants

Area of Science:

• Oral surgery
• Dental implantology
• Neurosensory disturbances

Background:

• Mandibular nerve (MN) lateralization is a surgical technique used for dental implant placement.
• Neurosensory disturbances (NDs) are potential complications following MN lateralization.

Purpose of the Study:

• To investigate the types and duration of neurosensory disturbances (NDs) after mandibular nerve (MN) lateralization for implant placement.
• To evaluate patient satisfaction and recovery time following the procedure.

Main Methods:

• Prospective cohort study involving 87 patients undergoing MN lateralization for implant placement.
• Preoperative imaging (panoramic radiograph, CT scans) and postoperative patient questionnaires to report NDs over one year.

Main Results:

• All patients reported initial NDs, primarily anesthesia, in the first week post-surgery.
• NDs significantly decreased, with 26% at one month and 3% by six months.
• Mean recovery time for MN was 37±15 days, with 82% patient satisfaction after one year.

Conclusions:

• Mandibular nerve (MN) lateralization is a useful and effective method for placing dental implants in the atrophic posterior mandible.
• The incidence and duration of neurosensory disturbances are generally temporary and manageable.