Neurosensory issues after lateralisation of the inferior alveolar nerve and simultaneous placement of osseointegrated implants. 2019

J M Castellano-Navarro, and J J Castellano-Reyes, and M Hirdina-Castilla, and A Suárez-Soto, and S Bocanegra-Pérez, and M Vicente-Barrero
Complejo Hospitalario Materno-Insular, Las Palmas de, Gran Canaria, Spain.

Our aim was to evaluate neurosensory symptoms after lateralisation of the inferior alveolar nerve (IAN). We studied a retrospective case series with one-year follow up that included 139 procedures in 123 patients. After the IAN had been located it was deflected from the mandibular body and the implant placed. Sensitivity was mapped 24hours, one month, six months, and one year after the intervention by gently pressing the skin and lips with the tip of a probe. A total of 337 implants were placed in 123 patients aged between 44 and 68 years. There were 33 men and 90 women and they all recovered. The IAN was mobilised by one of two procedures, one that involves the nerve directly (transposition) and one that does not (lateralisation). During lateralisation the nerve is deflected laterally through a mandibular osteotomy, while the mental nerve and mental foramen are not manipulated. The resulting hypoaesthetic area was drawn on a graph to assess its extension. Although different techniques are available for placing implants in atrophic jaws, mobilisation of the IAN is indicated in certain cases in which other techniques are not feasible or have a high risk of complications.

UI MeSH Term Description Entries
D008297 Male Males
D008334 Mandible The largest and strongest bone of the FACE constituting the lower jaw. It supports the lower teeth. Mylohyoid Groove,Mylohyoid Ridge,Groove, Mylohyoid,Grooves, Mylohyoid,Mandibles,Mylohyoid Grooves,Mylohyoid Ridges,Ridge, Mylohyoid,Ridges, Mylohyoid
D008340 Mandibular Nerve A branch of the trigeminal (5th cranial) nerve. The mandibular nerve carries motor fibers to the muscles of mastication and sensory fibers to the teeth and gingivae, the face in the region of the mandible, and parts of the dura. Alveolar Nerve, Inferior,Auriculotemporal Nerve,Buccal Nerve,Deep Temporal Nerve,Lateral Pterygoid Nerve,Masseteric Nerve,Mental Nerve,Mylohyoid Nerve,Auriculotemporal Nerves,Buccal Nerves,Deep Temporal Nerves,Inferior Alveolar Nerve,Inferior Alveolar Nerves,Lateral Pterygoid Nerves,Mandibular Nerves,Masseteric Nerves,Mental Nerves,Mylohyoid Nerves,Nerve, Auriculotemporal,Nerve, Buccal,Nerve, Deep Temporal,Nerve, Inferior Alveolar,Nerve, Lateral Pterygoid,Nerve, Mandibular,Nerve, Masseteric,Nerve, Mental,Nerve, Mylohyoid,Pterygoid Nerve, Lateral,Pterygoid Nerves, Lateral,Temporal Nerve, Deep,Temporal Nerves, Deep
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D003758 Dental Implantation, Endosseous Insertion of an implant into the bone of the mandible or maxilla. The implant has an exposed head which protrudes through the mucosa and is a prosthodontic abutment. Dental Implantation, Osseointegrated,Endosseous Dental Implant Therapy,Endosseous Implantation,Osseointegrated Dental Implantation,Endosseous Dental Implantation,Implantation, Endosseous,Implantation, Endosseous Dental,Implantation, Osseointegrated Dental
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000077280 Bone-Anchored Prosthesis A prosthesis designed to attach directly to the bone via fixtures implanted into the bone rather than a socket. Bone Anchored Devices,Bone-Anchored Amputation Prosthesis,Bone-Anchored Implants,Intraosseous Transcutaneous Amputation Prosthesis,Osseo-Anchored Prosthesis,Osseo-Integrated Implants,Osseointegrated Implants,Amputation Prostheses, Bone-Anchored,Amputation Prosthesis, Bone-Anchored,Bone Anchored Amputation Prosthesis,Bone Anchored Device,Bone Anchored Implants,Bone Anchored Prosthesis,Bone-Anchored Amputation Prostheses,Bone-Anchored Implant,Bone-Anchored Prostheses,Device, Bone Anchored,Implant, Bone-Anchored,Implant, Osseo-Integrated,Implant, Osseointegrated,Osseo Anchored Prosthesis,Osseo Integrated Implants,Osseo-Anchored Prostheses,Osseo-Integrated Implant,Osseointegrated Implant,Prostheses, Bone-Anchored,Prostheses, Osseo-Anchored,Prosthesis, Bone-Anchored,Prosthesis, Bone-Anchored Amputation,Prosthesis, Osseo-Anchored
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly

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