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Inferior alveolar nerve lateral transposition

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Abstract

Purpose

We determined the outcomes of 18 inferior alveolar nerve lateral transposition procedures in 15 consecutive patients. The advantages and disadvantages of this technique are discussed.

Results

The surgical protocol for inferior alveolar nerve transposition, followed by implant placement, presented excellent results, with complete recovery of the sensitivity within 6 months after the surgical procedure.

Discussion

Inferior alveolar nerve transposition is an option for prosthetic rehabilitation in cases of moderate or even severe bone reabsorption for patients that do not tolerate removable dentures.

Conclusions

It is concluded that inferior alveolar nerve transposition can be safely and predictably performed with low risk to the mental nerve sensibility. Each patient should be advised of the chance of permanent nerve deficit throughout the distribution of the mental nerve. Alternative restorative solutions should also be considered.

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References

  1. Akça K, Iplikçioğlu H (2002) Finite element stress analysis of the effect of short implant usage in place of cantilever extensions in mandibular posterior edentulism. J Oral Rehabil 29:350–356

    Article  PubMed  Google Scholar 

  2. Alling CC (1986) Dysesthesia of the lingual and inferior alveolar nerves following third molar surgery. J Oral Maxillofac Surg 44:454–457

    Article  PubMed  Google Scholar 

  3. Babbush CA (1998) Transpositioning and repositioning the inferior alveolar and mental nerves in conjunction with endosteal implant reconstruction. Periodontol 2000(17):183–190

    Article  Google Scholar 

  4. Bataineh AB (2001) Sensory nerve impairment following mandibular third molar surgery. J Oral Maxillofac Surg 59:1012–1017

    Article  CAS  PubMed  Google Scholar 

  5. Bovi M (2005) Mobilization of the inferior alveolar nerve with simultaneous implant insertion: a new technique. Case report. Int J Periodontics Restorative Dent 25:375–383

    PubMed  Google Scholar 

  6. Brugnera A Jr et al (2000) Low level laser therapy in treatment of lesions in the inferior alveolar and mental nerves. In Proceedings of 3rd Congress of World Association For Laser Therapy: May 2000 Athens, Greece, p 126

  7. Chiapasco M, Crescentini M, Romanoni G (1995) Germectomy or delayed removal of mandibular impacted third molars: the relationship between age and incidence of complications. J Oral Maxillofac Surg 53:418–422

    Article  CAS  PubMed  Google Scholar 

  8. Eggers G, Klein J, Blank J, Hassfeld S (2004) Piezosurgery: an ultrasound device for cutting bone and its use and limitations in maxillofacial surgery. Br J Oral Maxillofac Surg 42:451–453

    Article  PubMed  Google Scholar 

  9. Ferrigno N, Laureti M, Fanali S (2005) Inferior alveolar nerve transposition in conjunction with implant placement. Int J Oral Maxillofac Implants 20:610–620

    PubMed  Google Scholar 

  10. Friberg B, Ivanoff C-J, Lekhohn U (1992) Inferior alveolar nerve transposition in combination with Branemark implant treatment. Int J Periodontics Rest Dent 12:44–49

    Google Scholar 

  11. Gregg JM (1995) Surgical management of inferior alveolar injuries (part II). J Oral Maxillofac Surg 53:1330–1333

    Article  CAS  PubMed  Google Scholar 

  12. Haas DA, Lennon D (1995) A 21 year retrospective study of reports of paresthesia following local anesthetic administration. J Can Dent Assoc 61:319–320, 323-6,329-330

    CAS  PubMed  Google Scholar 

  13. Higuchi KW, Folmer T, Kultje C (1995) Implant survival rates in partially edentulous patients: a 3-year prospective multicenter study. J Oral Maxillofac Surg 53:264–268

    Article  CAS  PubMed  Google Scholar 

  14. Hirsch JM, Brånemark PI (1995) Fixture stability and nerve function after transposition and lateralization of the inferior alveolar nerve and fixture installation. Br J Oral Maxillofac Surg 33:276–281

    Article  CAS  PubMed  Google Scholar 

  15. Jensen J, Reiche-Fischel O, Sindet-Pedersen S (1994) Nerve transposition and implant placement in the atrophic posterior mandibular alveolar ridge. J Oral Maxillofac Surg 52:662–668

    Article  CAS  PubMed  Google Scholar 

  16. Jensen O, Nock D (1987) Inferior alveolar nerve repositioning in conjunction with placement of osseointegrated implants: a case report. Oral Surg Oral Med Oral Pathol 63:263–268

    Article  CAS  PubMed  Google Scholar 

  17. Jones DL, Trash WJ (1992) Electrophysiological assessment of human inferior alveolar nerve function. J Oral Maxillofac Surg 50:581–585

    Article  CAS  PubMed  Google Scholar 

  18. Kan JY, Lozada JL, Goodacre CJ, Davis WH, Hanisch O (1997) Endosseous implant placement in conjunction with inferior alveolar nerve transposition: an evaluation of neurosensory disturbance. Int J Oral Maxillofac Implants 12:463–471

    CAS  PubMed  Google Scholar 

  19. Karlis V, Bae RD, Glickman RS (2003) Mandibular fracture as a complication of inferior alveolar nerve transposition and placement of endosseous implants: a case report. Implant Dent 12:211–216

    PubMed  Google Scholar 

  20. Khullar SM, Brodin P, Barkvoll P, Haanaes HR (1996) Preliminary study of low-level laser for treatment of long-standing sensory aberrations in the inferior alveolar nerve. J Oral Maxillofac Surg 54:2–7

    Article  CAS  PubMed  Google Scholar 

  21. Khullar SM, Emami B, Westermark A, Haanaes HR (1996) Effect of low-level laser treatment on neurosensory deficits subsequent to sagittal split ramus osteotomy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 82:132–138

    Article  CAS  PubMed  Google Scholar 

  22. Krogh PH, Worthington P, Davis WH, Keller EE (1994) Does the risk of complication make transpositioning the inferior alveolar nerve in conjunction with implant placement a “last resort” surgical procedure? Int J Oral Maxillofac Implants 9:249–254

    CAS  PubMed  Google Scholar 

  23. Lambrecht JT (2004) Intraorale Piezo-Chirurgie (intraoral piezo-surgery). Schweiz Monatsschr Zahnmed 114:28–36

    PubMed  Google Scholar 

  24. Lekholm U, van Steenberghe D, Hernnman I, Bolander C, Folmer T, Gunne J et al (1994) Osseointegrated implants in the treatment of partially edentulous jaws: a prospective 5-year multi-center study. Int J Oral Maxillofac Implants 9:627–635

    Google Scholar 

  25. Ed M, Haanaes HR (1993) Low reactive-level 830 nm Ga Al As diode laser therapy (LLLT) successfully accelerates regeneration of peripheral nerves in human. Laser Therapy 5:125

    Google Scholar 

  26. Milner TE, Stein RV (1981) The effects of axotomy on the conduction of action potential in peripheral, sensory and motor nerve fibres. J Neurol Neurosurg Psychiat 44:495–496

    Google Scholar 

  27. Miloro M, Halkias LE, Mallery S, Travers S, Rashid RG (2002) Low-level laser effect on neural regeneration in Gore-Tex tubes. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 93:27–34

    Article  PubMed  Google Scholar 

  28. Miloro M, Repasky M (2000) Low-level laser effect on neurosensory recovery after sagittal ramus osteotomy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 89:12–18

    Article  CAS  PubMed  Google Scholar 

  29. Morrison A, Chiarot M, Kirby S (2002) Mental nerve function after inferior alveolar nerve transposition for placement of dental implants. J Can Dent Assoc 68:46–50

    PubMed  Google Scholar 

  30. Mozsary PG, Syers CS (1985) Microsurgical correction of the injured inferior alveolar nerve. J Oral Maxillofac Surg 43:353–358

    Article  CAS  PubMed  Google Scholar 

  31. Nocini PF, De Santis D, Fracasso E, Zanette G (1999) Clinical and electrophysiological assessment of inferior alveolar nerve function after lateral nerve transposition. Clin Oral Implants Res 10:120–130

    Article  CAS  PubMed  Google Scholar 

  32. Ozen T, Orhan K, Gorur I, Ozturk A (2006) Efficacy of low level laser therapy on neurosensory recovery after injury to the inferior alveolar nerve. Head Face Med 2:3

    Article  PubMed  Google Scholar 

  33. Robinson PP (1988) Observations on the recovery of sensation following inferior alveolar nerve injuries. Br J Oral Maxillofac Surg 26:177–189

    Article  CAS  PubMed  Google Scholar 

  34. Rosenquist B (1992) Fixture placement posterior to the mental foramen with transpositioning of the inferior alveolar nerve. Int J Oral Maxillofac Implants 7:45–50

    CAS  PubMed  Google Scholar 

  35. Rosenquist B (1994) Implant placement in combination with nerve transposing: experience with the first 100 cases. Int J Oral Maxillofac Implants 9:522–531

    Google Scholar 

  36. Sakkas N, Otten JE, Gutwald R, Schmelzeisen R (2008) Transposition of the mental nerve by piezosurgery followed by postoperative neurosensory control: a case report. Br J Oral Maxillofac Surg 46:270–271

    Article  PubMed  Google Scholar 

  37. Sandstedt P, Sorensen S (1995) Neurosensory disturbances of the trigeminal nerve: a long-term follow-up of traumatic injuries. J Oral Maxillofac Surg 53:498–505

    Article  CAS  PubMed  Google Scholar 

  38. Sethi A (1995) Inferior alveolar nerve repositioning in implant dentistry: a preliminary report. Int J Periodontics Restorative Dent 15:474–481

    CAS  PubMed  Google Scholar 

  39. Simpson HF (1958) Injuries to the inferior dental and mental nerves. J Oral Surg 16:300–305

    CAS  PubMed  Google Scholar 

  40. Smiler DG (1993) Repositioning the inferior alveolar nerve for placement of endosseous implants: technical note. Int J Oral Maxillofac Implants 8:145–150

    CAS  PubMed  Google Scholar 

  41. Stubinger S, Kuttenberger J, Filippi A, Sader R, Zeilhofer HF (2005) Intraoral piezosurgery: preliminary results of a new technique. J Oral Maxillofac Surg 63:1283–1287

    Article  PubMed  Google Scholar 

  42. Tay AB, Go WS (2004) Effect of exposed inferior alveolar neurovascular bundle during surgical removal of impacted lower third molars. J Oral Maxillofac Sur 62:592–600

    Article  Google Scholar 

  43. Upton LG, Rajvanakarn M, Hayward JR (1987) Evaluation of the regenerative capacity of the inferior alveolar nerve following surgical trauma. J Oral Maxillofac Surg 45:212–216

    Article  CAS  PubMed  Google Scholar 

  44. Vriens JPM, Pasman JW (1994) Assessment of trigeminal nerve function by means of short-latency somatosensory evoked potentials after microsurgical repair. J Craniomaxillofac Surg 22:156–162

    CAS  PubMed  Google Scholar 

  45. Walter JM Jr, Gregg JM (1979) Analysis of postsurgical neurologic alteration in the trigeminal nerve. J Oral Surg 37:410–414

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Av. Raja Gabaglia, 1000/1209—Gutierrez, Belo Horizonte, MG-CEP, 30441-070, Brazil

    Bruno Ramos Chrcanovic

  2. Departamento de Odontologia, Pontifícia Universidade Católica de Minas Gerais, Av. Dom José Gaspar, 500 Prédio 45—Coração Eucarístico, Belo Horizonte, MG, 30535-610, Brazil

    Antônio Luís Neto Custódio

  3. Oral and Maxillofacial Surgery Department, School of Dentistry, Pontifícia Universidade Católica De Minas Gerais, Belo Horizonte, Brazil

    Antônio Luís Neto Custódio

  4. Department of Morphology, Institute of Biological Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil

    Antônio Luís Neto Custódio

Authors
  1. Bruno Ramos Chrcanovic
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  2. Antônio Luís Neto Custódio
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Correspondence to Bruno Ramos Chrcanovic.

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Chrcanovic, B.R., Custódio, A.L.N. Inferior alveolar nerve lateral transposition. Oral Maxillofac Surg 13, 213–219 (2009). https://doi.org/10.1007/s10006-009-0175-3

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