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Achieving implant reconstruction through bilateral mandibular nerve repositioning
Journal of the American Dental Association (1939)
|March 1, 1994
Summary
Bone grafting is an option for dental implant placement when bone is insufficient. Alternatively, repositioning the mandibular nerve allows for endosseous implant placement, as shown in this bilateral case study.
Area of Science:
- Oral and Maxillofacial Surgery
- Dental Implantology
- Reconstructive Surgery
Background:
- Insufficient bone volume is a common challenge for endosseous dental implant placement.
- Traditional solutions include bone grafting procedures.
- An alternative approach involves neurovascular bundle repositioning.
Observation:
- This case report details the bilateral repositioning of the inferior alveolar nerves (mandibular nerves).
- The procedure was performed to facilitate the placement of endosseous implants in the mandible.
- Surgical planning and execution were critical for preserving nerve function.
Findings:
- Successful bilateral mandibular nerve repositioning was achieved.
- Endosseous implants were subsequently placed in the prepared sites.
- This technique expanded the bone availability for implant anchorage.
Implications:
- Mandibular nerve repositioning offers a viable alternative to bone grafting in select cases.
- This surgical technique can increase treatment options for patients with limited bone height.
- Further research can explore long-term outcomes and patient selection criteria for this procedure.