Published on August 28, 2021, Updated on May 3, 2024

In order to placement of dental implants in the lower jaw, the inferior alveolar nerve, which gives feeling to the lower lip and chin, may need to be relocated. When teeth are missing in the area of the two rear molars and/or second premolars, a nerve repositioning treatment is performed on the lower jaw. Because there is nearly usually some postoperative numbness of the lower lip and jaw area, which typically disappears slowly but may be permanent, this procedure is considered a fairly aggressive technique. Other, less aggressive approaches are typically considered first (placement of blade implants, etc).

In order to expose the nerve and vascular canal, we usually remove an outer piece of the cheek on the side of the lower jaw bone. The nerve and vascular bundle in that location is then isolated and gently pulled out to the side. The implants are subsequently placed while the neuro-vascular bundle is tracked. The bundle is then freed and repositioned over the implants. The surgical access has been refilled with bone graft material and the region has been closed.

Depending on the individual’s health, these operations may be performed independently or in combination. As previously noted, bone transplants can be obtained from a variety of locations on the body. Bone grafts can be obtained from the inside of the mouth, the chin or third molar region, or the upper jaw below the last tooth in the maxillofacial region. More bone can be obtained from the hip or the outer surface of the tibia near the knee in more extensive instances. We achieve the best outcomes when we use the patient’s own bone for repairs or additions. Visit our dental clinic Oral Health Center.

In many circumstances, allograft material can be used to do bone grafting for dental implants. This cadaveric bone is utilized to encourage the patient’s own bone to grow into the healing site. It is incredibly effective as well as quite safe. Bone growth can also be aided by synthetic materials. Even elements from your own blood are used to speed up and encourage bone development in graft locations.

These procedures are conducted under IV sedation or general anesthesia in an out-of-office surgical suite. After discharge, one day of bed rest and one week of minimal physical activity are recommended.