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Related Experiment Videos

Atypical incisive nerve: clinical report

D Kohavi1, J Bar-Ziv

  • 1Department of Prosthodontics, Hebrew University-Hadassah School of Dental Medicine, Jerusalem, Israel.

Implant Dentistry
|January 1, 1996
PubMed
Summary

Mandibular implants can cause discomfort if they impact the incisive nerve, a delicate structure not usually visible on scans. Awareness of this nerve

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Implantology
  • Neuroanatomy

Background:

  • Dental implant placement in the anterior mandible requires careful consideration of anatomical structures.
  • Nerve variations can pose risks during surgical procedures.

Observation:

  • A patient experienced discomfort from mandibular implants.
  • Cross-sectional computerized tomography (CT) revealed a distinct structure near the implants.

Findings:

  • The identified structure was the incisive nerve, originating from the mental foramina and traversing the implant sites.
  • This nerve plexus is typically not visualized with conventional radiography or CT scans.

Implications:

  • The presence and anatomical course of the incisive nerve must be considered during anterior mandibular implant placement.
  • Failure to identify potential nerve variations can lead to complications and patient discomfort.
  • Pre-operative imaging and anatomical knowledge are crucial for preventing iatrogenic nerve injury.

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