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Review
. 2015 Mar 30;6(1):e2.
doi: 10.5037/jomr.2014.6102. eCollection 2015 Jan-Mar.

Inferior alveolar nerve lateralization and transposition for dental implant placement. Part I: a systematic review of surgical techniques

Boris Abayev  1 , Gintaras Juodzbalys  1
Affiliations
Review

Inferior alveolar nerve lateralization and transposition for dental implant placement. Part I: a systematic review of surgical techniques

Boris Abayev et al. J Oral Maxillofac Res. .

Abstract

Objectives: The purpose of this first part of a two-part series was to review the literature concerning the indications, contraindications, advantages, disadvantages and surgical techniques of the lateralization and transposition of the inferior alveolar nerve, followed by the placement of an implant in an edentulous atrophic posterior mandible.

Material and methods: A comprehensive review of the current literature was conducted according to the PRISMA guidelines by accessing the NCBI PubMed and PMC database, academic sites and books. The articles were searched from January 1997 to July 2014 and comprised English-language articles that included adult patients between 18 and 80 years old with minimal residual bone above the mandibular canal who had undergone inferior alveolar nerve (IAN) repositioning with a minimum 6 months of follow-up.

Results: A total of 16 studies were included in this review. Nine were related to IAN transposition, 4 to IAN lateralization and 3 to both transposition and lateralization. Implant treatment results and complications were presented.

Conclusions: Inferior alveolar nerve lateralization and transposition in combination with the installation of dental implants is sometimes the only possible procedure to help patients to obtain a fixed prosthesis, in edentulous atrophic posterior mandibles. With careful pre-operative surgical and prosthetic planning, imaging, and extremely precise surgical technique, this procedure can be successfully used for implant placement in edentulous posterior mandibular segments.

Keywords: alveolar bone atrophy; dental implants; fifth cranial nerve injury; jaw surgery; mandibular nerve; paresthesia.

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Figures

Figure 1
Figure 1
PRISMA flow diagram.
Figure 2
Figure 2
Intraoperative photographs showing inferior alveolar neurovascular bundle transposition. A = before transposition; B = after transposition (courtesy of Dr Dainius Razukevicius, “Kauno Implantologijos Centras” Kaunas, Lithuania).
Figure 3
Figure 3
Intraoperative photography showing the inferior alveolar neurovascular bundle lateralization (courtesy of Dr Dainius Razukevicius, “Kauno Implantologijos Centras” Kaunas, Lithuania).
Figure 4
Figure 4
Schematic drawing showing the inferior alveolar neurovascular bundle transposition (A) and lateralization (B).
See this image and copyright information in PMC

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References

    1. Lorean A, Kablan F, Mazor Z, Mijiritsky E, Russe P, Barbu H, Levin L. Inferior alveolar nerve transposition and reposition for dental implant placement in edentulous or partially edentulous mandibles: a multicenter retrospective study. Int J Oral Maxillofac Surg. 2013 May;42(5):656-9. - DOI - PubMed
    1. Morrison A, Chiarot M, Kirby S. Mental nerve function after inferior alveolar nerve transposition for placement of dental implants. J Can Dent Assoc. 2002 Jan;68(1):46-50. - PubMed
    1. Kan JY, Lozada JL, Goodacre CJ, Davis WH, Hanisch O. Endosseous implant placement in conjunction with inferior alveolar nerve transposition: an evaluation of neurosensory disturbance. Int J Oral Maxillofac Implants. 1997 Jul-Aug;12(4):463-71. - PubMed
    1. Peleg M, Mazor Z, Chaushu G, Garg AK. Lateralization of the inferior alveolar nerve with simultaneous implant placement: a modified technique. Int J Oral Maxillofac Implants. 2002 Jan-Feb;17(1):101-6. - PubMed
    1. Khajehahmadi S, Rahpeyma A, Bidar M, Jafarzadeh H. Vitality of intact teeth anterior to the mental foramen after inferior alveolar nerve repositioning: nerve transpositioning versus nerve lateralization. Int J Oral Maxillofac Surg. 2013 Sep;42(9):1073-8. - DOI - PubMed

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