European Journal of Biomedical and Pharmaceutical Sciences

NEUROSENSORY COMPLICATIONS AND IMPLANT SURVIVAL FOLLOWING INFERIOR ALVEOLAR NERVE LATERALIZATION AND TRANSPOSITION: A REVIEW STUDY

Pallavi Madan* and Rohan Kalra

ABSTRACT

Objective: The main aim of this review article was to consolidate the presently obtainable literature associated with the surgical techniques of lateralization and transposition of inferior alveolar nerve as a method for implant insertion in patients with moderate to severe atrophy of posterior mandibular bone. Materials: Nine articles regarding neuro-sensory complications and implant success rate after inferior alveolar nerve transposition and inferior alveolar nerve lateralization procedures were designated. In total, 374 adult patients between 20-78 years of age were included. Results: Data from nine studies was included. Two articles covered both inferior alveolar nerve transposition and lateralization, six articles included inferior alveolar nerve transposition and one article enclosed CATT (cortical autogenous tenting technique) along with inferior alveolar nerve transposition. Conclusion: With the exception of insertion of shorter implants, augmentation techniques with bone grafting, the lateralization and transposition of inferior alveolar nerve can prove to be an effective methodology for putting implants in patients with minimal residual bone higher to the infra-maxillary canal. With wise patient choice criteria and effective execution of the surgical procedure, this approach shows high success rate.

Keywords: Inferior alveolar nerve transpositioning; alveolar bone atrophy; neurosensory dysfunction; dental implants; paresthesia.