Nerve Retraction During Inferior Alveolar Nerve Repositioning Procedure: A New Simple Method and Review of the Literature

J Oral Implantol. 2015 Jul:41 Spec No:391-4. doi: 10.1563/AAID-JOI-D-13-00108. Epub 2013 Dec 17.

Abstract

Nerve repositioning surgery is one of the treatments chosen for the patients with edentulous posterior atrophic mandible. Like any other treatments, this therapy has its advantages and disadvantages, indications and contraindications. The most important complication of this procedure is neurosensory disturbance. This problem may occur at different stages of the treatment. One common time when nerve damage happens is when the nerve is located outside the canal and drilling and insertion of the implant are performed. Accordingly, this report describes a simple and feasible method to retract and protect nerves outside the canal during the treatment of nerve transposition. This will reduce the risk of nerve damage.

Keywords: inferior alveolar nerve injury; inferior alveolar nerve lateralization; inferior alveolar nerve repositioning; inferior alveolar nerve transposition; nerve retraction.

Publication types

  • Review

MeSH terms

  • Atrophy
  • Dental Implantation, Endosseous / methods*
  • Humans
  • Intraoperative Complications / prevention & control*
  • Jaw, Edentulous / surgery
  • Mandible / surgery
  • Mandibular Nerve / surgery*
  • Osteotomy / methods
  • Trigeminal Nerve Injuries / prevention & control*