Kevin M. Patterson, DDS, MD | M. Juliana DiPasquale, DMD

Bone Grafting

Nerve Repositioning

Nerve Re-positioning

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 the 2nd premolar, with the above-mentioned secondary condition. Since this procedure is considered a very aggressive approach (there is almost always some postoperative numbness of the lower lip and jaw area, which dissipates only very slowly, if ever), usually other, less aggressive options are considered first.

How is Nerve Re-Positioning done?

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 will place the implants. 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.

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Drs. Patterson and DiPasquale, along with each member of our staff, are committed to providing compassionate care so that you feel at home in our office. We welcome you to ask any questions you have regarding oral surgery and your overall oral health so that you can leave our office with confidence.

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