Nerve Repositioning

When placing dental implants in the lower jaw, particularly in areas where the back molars or second premolars were previously located, the inferior alveolar nerve might need repositioning. This nerve provides sensation to the lower lip and chin. Repositioning is crucial to make sufficient space for the implants, but it’s known to be a particularly invasive procedure. It’s generally considered when other, less invasive options are not feasible.

Key benefits of Nerve Repositioning

  • Enables Dental Implant Placement: Repositioning the inferior alveolar nerve allows for the placement of dental implants in areas of the lower jaw that would otherwise be too close to the nerve, ensuring that implants can be securely positioned.

  • Preservation of Nerve Function: Although the procedure can cause temporary numbness, careful repositioning aims to preserve the long-term functionality of the nerve, minimizing permanent sensory loss.

  • Improved Oral Functionality: By enabling the installation of implants, nerve repositioning contributes to better chewing and speaking abilities, which are often compromised with missing teeth.

  • Aesthetic Enhancement: Dental implants help maintain the jawbone structure and facial aesthetics, preventing the sunken look that often accompanies tooth loss.

  • Long-term Solution: Dental implants provide a durable and long-term solution for tooth loss, improving overall dental health and quality of life.

  • Customizable Treatment: The procedure is tailored to the specific anatomy and needs of each patient, enhancing the effectiveness of dental implants.

Why Do I Need Nerve Repositioning?

graphic of nerve repositioning

Nerve repositioning is considered when the placement of dental implants needs to be balanced with the preservation of nerve function and overall oral health. This procedure is a critical option for ensuring that implants can be placed without compromising sensitive anatomical structures, thus facilitating a successful dental restoration that maintains both functionality and aesthetic integrity.

During the surgery, a segment of the outer bone on the lower jaw’s side is removed to expose the nerve and vessel canal. The nerve and vessel bundle is then carefully isolated and temporarily relocated to allow the placement of the implants. Once the implants are in place, the neuro-vascular bundle is repositioned over them. The area is then filled with a bone graft material chosen by the surgeon and closed up.

This procedure can often result in temporary, sometimes permanent, numbness in the affected area. The numbness usually diminishes over time but can be a lasting consequence of the surgery.

an oral surgeon checks a patient's mouth

The recovery period after bone grafting is essential for successful outcomes. Following the procedure, you may experience some swelling, discomfort, and possibly minor bleeding. Our team will provide you with specific post-operative instructions to follow, including pain management strategies, dietary recommendations, and oral hygiene practices.

During the recovery period, it is crucial to maintain proper oral hygiene and follow any dietary restrictions provided. It is normal to experience some initial limitations in jaw movement or sensitivity in the grafted area. Our team will closely monitor your progress and schedule follow-up appointments to assess healing and address any concerns or questions you may have.

Bone grafting is a highly effective and proven technique for restoring bone structure and creating a solid foundation for future dental procedures. It offers numerous benefits, including improved oral function, enhanced aesthetics, and the opportunity for successful dental implant placement.

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