Complications associated with inferior alveolar nerve reposition technique for simultaneous implant-based rehabilitation of atrophic mandibles. A systematic literature review

García-Ochoa, Álvaro Palacio; Pérez-González, Fabian; Moreno, A. Negrillo; Sánchez-Labrador, Luis; Brinkmann, Jorge Cortés-Bretón; Martı́nez-González, José Marı́a; Martínez, Juan López-Quiles

doi:10.1016/j.jormas.2019.12.010

Cited by 21 publications

(15 citation statements)

References 26 publications

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“…As a result, loss of sensation anterior to the mental foramen can be more prolonged, if not permanent, with nerve transposition. Nerve lateralization produces a lower percentage loss of sensation since it is less invasive when compared to transposition 4 . Jensen and Nock were the first to report nerve transposition for the purpose of dental implant placement in the posterior mandible 5 .…”

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confidence: 99%

Complications Associated with Rehabilitation of a Unilateral Partially Edentulous Mandible with Inferior Alveolar Nerve Transposition and Implant Placement: A Clinical Report

Haeberle

Abreu

Metzler

et al. 2021

Journal of Prosthodontics

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Rehabilitation of an edentulous posterior mandible to restore function and arch stability can be accomplished with a removable partial denture or an implant supported fixed partial denture. If the alveolus is severely resorbed, implant placement becomes challenging due to inadequate bone and the position of the inferior alveolar nerve. This report details a situation where a mandibular fracture occurred soon after inferior alveolar nerve (IAN) transposition and simultaneous implant placement. The prosthodontic reconstruction was completed using a fixed‐dental prosthesis.

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mentioning

confidence: 99%

Complications Associated with Rehabilitation of a Unilateral Partially Edentulous Mandible with Inferior Alveolar Nerve Transposition and Implant Placement: A Clinical Report

Haeberle

Abreu

Metzler

et al. 2021

Journal of Prosthodontics

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“…2. The risk of specific complications, such as fracture of the mandible and damage of the IAN at the time of repositioning, or during vestibuloplasty in the second stage [9][10][11]. 3.…”

Section: This Is An Appropriate Technique For Situationsmentioning

confidence: 99%

Dental implant placement with inferior alveolar nerve repositioning in severely resorbed mandibles: a retrospective multicenter study of implant success and survival rates, and lower lip sensory disturbances

Deryabin¹,

Grybauskas

2021

Int J Implant Dent

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Background The purpose of this study was to analyze medium-to-long-term implant success and survival rates, and lower lip sensory disturbance after placement of dental implants with simultaneous inferior alveolar nerve (IAN) repositioning. Methods Fifteen patients (3 men, 12 women) treated in two centers were included in this retrospective study. The ages of the participants ranged from 19 to 68. A total of 48 dental implants were placed in 23 posterior mandibular segments simultaneously with IAN transposition or lateralization. The residual bone above the IAN ranged from 0.5 to 7.0 mm. Crestal bone changes were measured using cone beam computed tomography (CBCT) images. Disturbance of the IAN was evaluated subjectively using a modified questionnaire. Results The healing process was uneventful in fourteen patients. In one patient, spontaneous fracture of the operated mandible occurred on tenth day after the surgery. The implant in the fracture line was removed at the time of open reduction and fixation. One more implant was lost after 5 years of loading. Therefore, the overall dental implant survival rate was 95.8%, whereas all implants in function were judged as successful after a follow-up period of 1 to 10 years. Transient neurosensory disturbances (ND) were observed in all patients who underwent IAN lateralization and IAN transposition. At follow-up times of 3 years, 5 years, and 10 years, weak hypoesthesia remained in two subjects treated with IAN transposition. None of the patients developed neuropathic pain after the procedure. Conclusions Within the limitations of this study, we conclude that reconstruction of severely resorbed mandibles with dental implants in conjunction with IAN repositioning is an effective and reliable technique. Although neurosensory disturbances are the most common complication after surgery, they tend to resolve over time. Advanced surgical skills are required to perform this technique.

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“…With advantages such as primary stability and allow the use of longer implants however, with neurosensory disturbance. (5)(6)(7)(8) In the literature, Cutting of the cortical bone in the Inferior Alveolar Nerve Lateralization by Piezosurgery devices with advantages such as selective cuttings, preserving soft-tissue structures and minimize thermal trauma. (9,10) Inferior alveolar nerve bypassing procedure is a modification in the path of implant placement to reduce the risk of postoperative neurosensory dysfunction.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Neurosensory Deficits Following the Use of Computer Assisted Surgical Guide for Inferior Alveolar Nerve Bypass versus Inferior Alveolar Nerve Lateralization (Randomized Controlled Trial)

2021

IJPHRD

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Objective : To evaluate the neurosensory function of inferior alveolar nerve following the placement of an implant with Bypassing versus lateralization method. Methods : Twenty six partially edentulous patients were selected and equally grouped into 2 groups. In 1 st group: implants placed by inferior alveolar nerve lateralization with Piezosurgery, while in 2 nd group implants placed by computer guided surgical stent to bypass the inferior alveolar nerve. Then the neurosensory deficits are evaluated by subjectively and objectively tests. Assessment occurred at period intervals 2 ,8 & 24 weeks postoperatively. Results: there was statistically significant difference between the IANL & IANB especially at the early post-operative follow up, but with time there was no statistically significant difference. Conclusion: The inferior alveolar nerve lateralization technique has a higher initial rate of sensory dysfunction than the nerve bypassing technique with the aid of computer guided stent.

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Complications associated with inferior alveolar nerve reposition technique for simultaneous implant-based rehabilitation of atrophic mandibles. A systematic literature review

Cited by 21 publications

References 26 publications

Complications Associated with Rehabilitation of a Unilateral Partially Edentulous Mandible with Inferior Alveolar Nerve Transposition and Implant Placement: A Clinical Report

Complications Associated with Rehabilitation of a Unilateral Partially Edentulous Mandible with Inferior Alveolar Nerve Transposition and Implant Placement: A Clinical Report

Dental implant placement with inferior alveolar nerve repositioning in severely resorbed mandibles: a retrospective multicenter study of implant success and survival rates, and lower lip sensory disturbances

Evaluation of Neurosensory Deficits Following the Use of Computer Assisted Surgical Guide for Inferior Alveolar Nerve Bypass versus Inferior Alveolar Nerve Lateralization (Randomized Controlled Trial)

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