procedures
The inferior alveolar nerve which gives feeling to the lower lip and chin may need to be moved in order to make room for placement of dental implants to the lower jaw. This procedure is limited to the lower jaw and indicated when teeth are missing in the area of the two back molars and/or and second premolar, with the above-mentioned secondary condition. Since this procedure is often a more aggressive approach to placing dental implants compared to bone grafting. The main risk associated with the procedure is an injury to the nerve that allows patients to feel with the lower lip, chin, teeth gums, and tongue. Injury to the nerve can result in temporary or permanent alterations in sensation. Bone grafting may carry a lower risk of injury of the nerve, so each procedure needs to be considered from a risk-benefit perspective.
Typically we remove an outer section of the cheek side of the lower jawbone in order to expose the nerve and vessel canal. Then we isolate the nerve and vessel bundle in that area and slightly pull it out to the side. At the same time, we place the implants, we’ll be tracking the neuro-vascular bundle. Then the bundle is released and placed back over the implants. The surgical access is refilled with bone graft material of the surgeon’s choice and the area is closed.
Nerve repositioning surgery is most often completed in the operating room setting under general anesthesia.
Procedure FAQ
Questions About Nerve Repositioning
When should I ask about Nerve Repositioning in Waterloo?
Patients should ask about nerve repositioning when a dentist has recommended specialist oral surgery care, symptoms are affecting comfort or function, or imaging suggests that nerve repositioning may require specialist diagnosis or treatment planning. The Waterloo office can review referrals, records, and next steps during consultation.
What happens during a consultation for Nerve Repositioning?
A consultation usually includes a review of medical history, dental concerns, referral information, and any needed imaging. The surgical team explains whether nerve repositioning is appropriate, what alternatives may exist, and how treatment is planned.
How should I prepare for Nerve Repositioning?
Preparation depends on the treatment plan, anesthesia needs, imaging, and instructions provided by the office. Patients should bring medication details, referral information, insurance questions, and any X-rays or imaging requested by the office.