Background : Subjective and qualitative assessment of neural disturbance after inferior alveolar nerve transposition for dental implant placement
Tooth loss is one of the common causes of reduced quality of life in adults. Dental implants have become a widely accepted treatment option for both partially and completely edentulous patients [1–3]. However, in cases of posterior mandibular atrophy, suitably sized implants cannot be placed without encroaching on the inferior alveolar nerve (IAN). In such cases, restorative options include the use of short fixtures, onlay bone grafting to increase the ridge height, and more complicated and detailed imaging studies to allow positioning of implants alongside and not in the nerve canal during the procedure [4]. Another option is to displace the IAN laterally from its canal during implant insertion (nerve lateralization, transposition, or nerve reposition) [5, 6]. The advantages of IAN lateralization include the ability to place longer fixtures and to engage two cortices for initial implant stability [3]. However, as a possible complication of the procedure, temporary or permanent disturbance of the neurosensory function of the IAN is common. The risk of IAN morbidity sometimes results in the limited use of this procedure. However, only few studies have evaluated the long-term results of neurosensory disturbance (ND) following IAN lateralization for dental implant placement in the atrophic edentulous mandible, and the range and quality of the neurosensory function of the IAN have not been fully analyzed [7–10].
The purpose of this retrospective study was to investigate the quality of postoperative neurosensory function after IAN transposition for dental implant placement.
Serial posts:
- Abstract : Subjective and qualitative assessment of neural disturbance after inferior alveolar nerve transposition for dental implant placement
- Background : Subjective and qualitative assessment of neural disturbance after inferior alveolar nerve transposition for dental implant placement
- Methods : Subjective and qualitative assessment of neural disturbance after inferior alveolar nerve transposition for dental implant placement
- Results : Subjective and qualitative assessment of neural disturbance after inferior alveolar nerve transposition for dental implant placement
- Discussion : Subjective and qualitative assessment of neural disturbance after inferior alveolar nerve transposition for dental implant placement [1]
- Discussion : Subjective and qualitative assessment of neural disturbance after inferior alveolar nerve transposition for dental implant placement [2]
- Discussion : Subjective and qualitative assessment of neural disturbance after inferior alveolar nerve transposition for dental implant placement [3]
- Conclusions : Subjective and qualitative assessment of neural disturbance after inferior alveolar nerve transposition for dental implant placement
- References : Subjective and qualitative assessment of neural disturbance after inferior alveolar nerve transposition for dental implant placement [1]
- References : Subjective and qualitative assessment of neural disturbance after inferior alveolar nerve transposition for dental implant placement [2]
- Acknowledgements : Subjective and qualitative assessment of neural disturbance after inferior alveolar nerve transposition for dental implant placement
- Author information : Subjective and qualitative assessment of neural disturbance after inferior alveolar nerve transposition for dental implant placement
- Additional information : Subjective and qualitative assessment of neural disturbance after inferior alveolar nerve transposition for dental implant placement
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- About this article : Subjective and qualitative assessment of neural disturbance after inferior alveolar nerve transposition for dental implant placement
- Table 1 Highet grading : Subjective and qualitative assessment of neural disturbance after inferior alveolar nerve transposition for dental implant placement
- Table 2 Results of assessment of sensory neural function after inferior alveolar nerve (IAN) transposition : Subjective and qualitative assessment of neural disturbance after inferior alveolar nerve transposition for dental implant placement
- Fig. 1. Alveolar nerve repositioning in a partially edentulous mandible. a Preoperative radiograph. b The inferior alveolar nerve was transposed from the mental foramen. c Postoperative radiograph after implant insertion : Subjective and qualitative assessment of neural disturbance after inferior alveolar nerve transposition for dental implant
- Fig. 2. a SW perception tester is composed of different diameters (a: 0.165 mm, b: 0.215 mm, c: 0.315 mm). b The use of SW perception tester started from a filament of 0.165 mm in diameter of the most weak force, and performed three times at one site : Subjective and qualitative assessment of neural disturbance after inferior alveolar nerve transposition for dental implant
- Fig. 3. Site of evaluation. (1) Corner of the mouth: 5 mm below the corner of the mouth. (2) Lower lip: 5 mm laterally from the midline. (3) Mental region: at the midpoint of the perpendicular from the lower edge to the lower lip to the chin and 5 mm laterally from the midline : Subjective and qualitative assessment of neural disturbance after inferior alveolar nerve transposition for dental implant