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Case Rep Dent. 2016;2016:4802637. doi: 10.1155/2016/4802637. Epub 2016 Jun 28.

Lateralization Technique and Inferior Alveolar Nerve Transposition.

Case reports in dentistry

Angélica Castro Pimentel, Marco Antonio Sanches, Gabriel Cardoso Ramalho, Caio Vinicius Roman-Torres, Marcello Roberto Manzi, Wilson Roberto Sendyk

Affiliations

  1. Department of Post Graduation, Division of Implantology, School of Dentistry, University of Santo Amaro (UNISA), Sao Paulo, SP, Brazil.
  2. School of Dentistry, University of Santo Amaro (UNISA), Sao Paulo, SP, Brazil.
  3. School of Dentistry, Department of Oral and Maxillofacial Surgery and Traumatology, University of São Paulo (USP), Sao Paulo, SP, Brazil.
  4. Graduate Program in Implant Dentistry at the University of Santo Amaro (UNISA), Sao Paulo, SP, Brazil.

PMID: 27433360 PMCID: PMC4940526 DOI: 10.1155/2016/4802637

Abstract

Bone resorption of the posterior mandible can result in diminished bone edge and, therefore, the installation of implants in these regions becomes a challenge, especially in the presence of the mandibular canal and its contents, the inferior alveolar nerve. Several treatment alternatives are suggested: the use of short implants, guided bone regeneration, appositional bone grafting, distraction osteogenesis, inclined implants tangential to the mandibular canal, and the lateralization of the inferior alveolar nerve. The aim was to elucidate the success rate of implants in the lateralization technique and in inferior alveolar nerve transposition and to determine the most effective sensory test. We conclude that the success rate is linked to the possibility of installing implants with long bicortical anchor which favors primary stability and biomechanics.

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