Complications Associated with Rehabilitation of a Unilateral Partially Edentulous Mandible with Inferior Alveolar Nerve Transposition and Implant Placement: A Clinical Report

2021 ◽  
Author(s):  
C. Brent Haeberle ◽  
Amara Abreu ◽  
Kurt Metzler ◽  
Marlen Robles‐Moreno
Keyword(s):  
Inferior Alveolar Nerve ◽  
Clinical Report ◽  
Implant Placement ◽  
Edentulous Mandible ◽  
Nerve Transposition

scholarly journals Rehabilitation of extremely atrophic edentulous mandible in elderly patients with associated comorbidities: a case report and proof of concept

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Iulian Filipov ◽  
Lucian Chirila ◽  
Corina Marilena Cristache
Keyword(s):  
Elderly Patients ◽  
Treatment Time ◽  
Inferior Alveolar Nerve ◽  
Clinical Report ◽  
Oral Rehabilitation ◽  
Invasive Approach ◽  
Surgical Interventions ◽  
Total Treatment Time ◽  
Edentulous Mandible ◽  
Total Treatment

Abstract Background Oral rehabilitation of the atrophic mandible is, most of the time, a challenging procedure, especially in elderly patients with associated comorbidities. Case presentation This clinical report describes the rehabilitation of an extremely atrophic mandible using an overdenture supported by four splinted implants, two of which are placed in the interforaminal region and the other two bypassing the inferior alveolar nerve at the level of the antegonial notch. A passive-fit bar structure splinting the four inserted implants was designed to compensate for mandibular flexure, to reduce the amount of strain on the implants, and avoid bone resorption and prosthetic failure. The 14-month postoperative cone-beam computed tomography (CBCT) and the clinical follow-up showed the bilateral integrity of the inferior alveolar nerve and the successful restoration of the atrophic edentulous mandible with a significant improvement in the patient’s quality of life. Conclusions The applied technique depicts several benefits such as a minimally invasive approach, reduced number of surgical interventions, reduced total treatment time, reduced treatment costs, and higher psychological acceptability.

The Efficacy of Mylohyoid Nerve Anesthesia in Dental Implant Placement at the Edentulous Posterior Mandibular Ridge

2012 ◽  
Vol 38 (2) ◽  
pp. 141-147 ◽  
Author(s):  
Hasan Ayberk Altug ◽  
Metin Sencimen ◽  
Altan Varol ◽  
Necdet Kocabiyik ◽  
Necdet Dogan ◽  
...  
Keyword(s):  
Dental Implant ◽  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Alternative Methods ◽  
Implant Surgery ◽  
Implant Placement ◽  
Edentulous Mandible ◽  
Group A ◽  
Mylohyoid Nerve ◽  
Group B

The aim of this study is to evaluate the anesthetic efficacy of mylohyoid and buccal nerve anesthesia at the posterior edentulous mandible versus regional anesthetic block to the inferior alveolar nerve in dental implant surgery. The study was composed of 2 groups. In the first group (group A), 14 voluntary adults (7 female and 7 male) received local infiltrations of 1 mL articaine HCl 4% with epinephrine 1/200 000 to the ipsilateral mylohyoid and buccal nerves. In the second group (group B, control; 9 female and 5 male adults), the inferior alveolar and the buccal nerve blocks were performed. Visual analog scales were obtained from patients to determine the level of pain during incision, drilling, implant placement, and suturing stages of implant surgery. A combination of buccal and mylohyoid nerve block offered an acceptable level of anesthesia. Two patients from group A stopped the ongoing surgery and had extraregional anesthesia by inferior alveolar nerve block. In group B, patients were operated on successfully. Local anesthetic infiltrations of the mylohyoid and the buccal nerve may be considered alternative methods of providing a convenient anesthetic state of the posterior mandibular ridge.

Sign in / Sign up

Export Citation Format

Share Document