Oral Territorial Neurovascular Considerations in Implant Surgery

Inferior alveolar nerve (IAN) transposition in a patient with multiple sclerosis – a report of a patient with 1‐year follow‐up

“…In this patient, a standard transposition technique was used. The recovery of nerve function was consistent with the literature reports [9][10][11][12][13][14][17][18][19][20] . The treatment time to final restoration was 3 months post-operatively.…”

“…Despite the minimal dysesthesia, the patients were satisfied with the overall procedure. Recently, Karacayli and Mas and Del‐Castillo‐Pardo‐de‐Vera et al . have reviewed mandibular neuroanatomy and techniques of IAN repositioning in considerable detail.…”

“…have reviewed mandibular neuroanatomy and techniques of IAN repositioning in considerable detail. In the literature, the risk of permanent nerve injury following IAN nerve repositioning is described as ranging from 0 to 21% (Table ). One study reports mild hypoesthesia in five of six patients having 26 implants.…”

“…Inferior alveolar nerve transposition or lateralisation has been successfully used in atrophic mandible to enable restoration of function. There are disadvantages associated with this technique such as permanent loss of sensation of lower lip and anterior teeth, and risk of fractured mandible, but this technique can be useful in selected cases where additional bone grafting and multiple surgical visits limit patient's choice.…”