Lateralization Technique and Inferior Alveolar Nerve Transposition
Identifieur interne : 002A19 ( Pmc/Curation ); précédent : 002A18; suivant : 002A20Lateralization Technique and Inferior Alveolar Nerve Transposition
Auteurs : Angélica Castro Pimentel [Brésil] ; Marco Antonio Sanches [Brésil] ; Gabriel Cardoso Ramalho [Brésil] ; Caio Vinicius Roman-Torres [Brésil] ; Marcello Roberto Manzi [Brésil] ; Wilson Roberto Sendyk [Brésil]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2016.
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.
Url:
DOI: 10.1155/2016/4802637
PubMed: 27433360
PubMed Central: 4940526
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<front><div type="abstract" xml:lang="en"><p>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.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id>
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<issn pub-type="epub">2090-6455</issn>
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<article-id pub-id-type="pmc">4940526</article-id>
<article-id pub-id-type="doi">10.1155/2016/4802637</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Lateralization Technique and Inferior Alveolar Nerve Transposition</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-6317-6439</contrib-id>
<name><surname>Pimentel</surname>
<given-names>Angélica Castro</given-names>
</name>
<xref ref-type="aff" rid="I1"><sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor1"><sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sanches</surname>
<given-names>Marco Antonio</given-names>
</name>
<xref ref-type="aff" rid="I2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ramalho</surname>
<given-names>Gabriel Cardoso</given-names>
</name>
<xref ref-type="aff" rid="I2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-9864-6894</contrib-id>
<name><surname>Roman-Torres</surname>
<given-names>Caio Vinicius</given-names>
</name>
<xref ref-type="aff" rid="I1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Manzi</surname>
<given-names>Marcello Roberto</given-names>
</name>
<xref ref-type="aff" rid="I3"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-3742-1330</contrib-id>
<name><surname>Sendyk</surname>
<given-names>Wilson Roberto</given-names>
</name>
<xref ref-type="aff" rid="I4"><sup>4</sup>
</xref>
</contrib>
</contrib-group>
<aff id="I1"><sup>1</sup>
Department of Post Graduation, Division of Implantology, School of Dentistry, University of Santo Amaro (UNISA), Sao Paulo, SP, Brazil</aff>
<aff id="I2"><sup>2</sup>
School of Dentistry, University of Santo Amaro (UNISA), Sao Paulo, SP, Brazil</aff>
<aff id="I3"><sup>3</sup>
School of Dentistry, Department of Oral and Maxillofacial Surgery and Traumatology, University of São Paulo (USP), Sao Paulo, SP, Brazil</aff>
<aff id="I4"><sup>4</sup>
Graduate Program in Implant Dentistry at the University of Santo Amaro (UNISA), Sao Paulo, SP, Brazil</aff>
<author-notes><corresp id="cor1">*Angélica Castro Pimentel: <email>draangelicacp@uol.com.br</email>
</corresp>
<fn fn-type="other"><p>Academic Editor: Gavriel Chaushu</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><year>2016</year>
</pub-date>
<pub-date pub-type="epub"><day>28</day>
<month>6</month>
<year>2016</year>
</pub-date>
<volume>2016</volume>
<elocation-id>4802637</elocation-id>
<history><date date-type="received"><day>11</day>
<month>4</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>16</day>
<month>5</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2016 Angélica Castro Pimentel et al.</copyright-statement>
<copyright-year>2016</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>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.</p>
</abstract>
</article-meta>
</front>
<floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label>
<caption><p>Incision and divulsion.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label>
<caption><p>Computed tomography (cone beam) of the jaw, right side.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label>
<caption><p>Definition of the mental foramen and the mandibular canal.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.003"></graphic>
</fig>
<fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label>
<caption><p>Osteotomy lateral to the mandibular canal involving the mental foramen.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.004"></graphic>
</fig>
<fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label>
<caption><p>Section of the incisive nerve.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.005"></graphic>
</fig>
<fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label>
<caption><p>Mental foramen displacement.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.006"></graphic>
</fig>
<fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label>
<caption><p>Installation of implants.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.007"></graphic>
</fig>
<fig id="fig8" orientation="portrait" position="float"><label>Figure 8</label>
<caption><p>Filling bone.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.008"></graphic>
</fig>
<fig id="fig9" orientation="portrait" position="float"><label>Figure 9</label>
<caption><p>Placement of absorbable membrane.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.009"></graphic>
</fig>
<fig id="fig10" orientation="portrait" position="float"><label>Figure 10</label>
<caption><p>Suture.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.010"></graphic>
</fig>
<fig id="fig11" orientation="portrait" position="float"><label>Figure 11</label>
<caption><p>Computerized tomography (cone beam) left jaw.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.011"></graphic>
</fig>
<fig id="fig12" orientation="portrait" position="float"><label>Figure 12</label>
<caption><p>Osteotomy.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.012"></graphic>
</fig>
<fig id="fig13" orientation="portrait" position="float"><label>Figure 13</label>
<caption><p>The inferior alveolar nerve's appearance after removal of bone tissue.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.013"></graphic>
</fig>
<fig id="fig14" orientation="portrait" position="float"><label>Figure 14</label>
<caption><p>Traction beam with latex.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.014"></graphic>
</fig>
<fig id="fig15" orientation="portrait" position="float"><label>Figure 15</label>
<caption><p>Traction beam performed with a Freer.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.015"></graphic>
</fig>
<fig id="fig16" orientation="portrait" position="float"><label>Figure 16</label>
<caption><p>Implants were installed.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.016"></graphic>
</fig>
<fig id="fig17" orientation="portrait" position="float"><label>Figure 17</label>
<caption><p>Filling in contact with implants (autogenous bone).</p>
</caption>
<graphic xlink:href="CRID2016-4802637.017"></graphic>
</fig>
<fig id="fig18" orientation="portrait" position="float"><label>Figure 18</label>
<caption><p>Intermediate fill (autogenous and hydroxyapatite bone).</p>
</caption>
<graphic xlink:href="CRID2016-4802637.018"></graphic>
</fig>
<fig id="fig19" orientation="portrait" position="float"><label>Figure 19</label>
<caption><p>Placing the absorbable membrane.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.019"></graphic>
</fig>
<fig id="fig20" orientation="portrait" position="float"><label>Figure 20</label>
<caption><p>Suture.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.020"></graphic>
</fig>
<fig id="fig21" orientation="portrait" position="float"><label>Figure 21</label>
<caption><p>Panoramic X-rays.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.021"></graphic>
</fig>
<fig id="fig22" orientation="portrait" position="float"><label>Figure 22</label>
<caption><p>Clinical aspect of prosthetic rehabilitation.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.022"></graphic>
</fig>
<fig id="fig23" orientation="portrait" position="float"><label>Figure 23</label>
<caption><p>Panoramic X-rays after prosthetic rehabilitation.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.023"></graphic>
</fig>
<fig id="fig24" orientation="portrait" position="float"><label>Figure 24</label>
<caption><p>Mental isolated nerve.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.024"></graphic>
</fig>
<fig id="fig25" orientation="portrait" position="float"><label>Figure 25</label>
<caption><p>Computed tomography (cone beam) of the right mandible.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.025"></graphic>
</fig>
<fig id="fig26" orientation="portrait" position="float"><label>Figure 26</label>
<caption><p>Osteotomy.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.026"></graphic>
</fig>
<fig id="fig27" orientation="portrait" position="float"><label>Figure 27</label>
<caption><p>Traction beam performed with a Freer.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.027"></graphic>
</fig>
<fig id="fig28" orientation="portrait" position="float"><label>Figure 28</label>
<caption><p>Traction beam performed with latex.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.028"></graphic>
</fig>
<fig id="fig29" orientation="portrait" position="float"><label>Figure 29</label>
<caption><p>Inferior alveolar nerve positioned.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.029"></graphic>
</fig>
<fig id="fig30" orientation="portrait" position="float"><label>Figure 30</label>
<caption><p>Suture.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.030"></graphic>
</fig>
<fig id="fig31" orientation="portrait" position="float"><label>Figure 31</label>
<caption><p>Panoramic court after implant placement.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.031"></graphic>
</fig>
<fig id="fig32" orientation="portrait" position="float"><label>Figure 32</label>
<caption><p>Computed tomography (cone beam) of the right mandible.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.032"></graphic>
</fig>
<fig id="fig33" orientation="portrait" position="float"><label>Figure 33</label>
<caption><p>Tactile discrimination test.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.033"></graphic>
</fig>
<fig id="fig34" orientation="portrait" position="float"><label>Figure 34</label>
<caption><p>Demarcation of sensory change area in the 28-day postoperative period.</p>
</caption>
<graphic xlink:href="CRID2016-4802637.034"></graphic>
</fig>
</floats-group>
</pmc>
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