Inferior alveolar nerve lateralization and transposition for dental implant placement. Part I: a systematic review of surgical techniques

Boris Abayev, Gintaras Juodzbalys, Boris Abayev, Gintaras Juodzbalys

Abstract

Objectives: The purpose of this first part of a two-part series was to review the literature concerning the indications, contraindications, advantages, disadvantages and surgical techniques of the lateralization and transposition of the inferior alveolar nerve, followed by the placement of an implant in an edentulous atrophic posterior mandible.

Material and methods: A comprehensive review of the current literature was conducted according to the PRISMA guidelines by accessing the NCBI PubMed and PMC database, academic sites and books. The articles were searched from January 1997 to July 2014 and comprised English-language articles that included adult patients between 18 and 80 years old with minimal residual bone above the mandibular canal who had undergone inferior alveolar nerve (IAN) repositioning with a minimum 6 months of follow-up.

Results: A total of 16 studies were included in this review. Nine were related to IAN transposition, 4 to IAN lateralization and 3 to both transposition and lateralization. Implant treatment results and complications were presented.

Conclusions: Inferior alveolar nerve lateralization and transposition in combination with the installation of dental implants is sometimes the only possible procedure to help patients to obtain a fixed prosthesis, in edentulous atrophic posterior mandibles. With careful pre-operative surgical and prosthetic planning, imaging, and extremely precise surgical technique, this procedure can be successfully used for implant placement in edentulous posterior mandibular segments.

Keywords: alveolar bone atrophy; dental implants; fifth cranial nerve injury; jaw surgery; mandibular nerve; paresthesia.

Figures

Figure 1
Figure 1
PRISMA flow diagram.
Figure 2
Figure 2
Intraoperative photographs showing inferior alveolar neurovascular bundle transposition. A = before transposition; B = after transposition (courtesy of Dr Dainius Razukevicius, “Kauno Implantologijos Centras” Kaunas, Lithuania).
Figure 3
Figure 3
Intraoperative photography showing the inferior alveolar neurovascular bundle lateralization (courtesy of Dr Dainius Razukevicius, “Kauno Implantologijos Centras” Kaunas, Lithuania).
Figure 4
Figure 4
Schematic drawing showing the inferior alveolar neurovascular bundle transposition (A) and lateralization (B).

References

    1. Lorean A, Kablan F, Mazor Z, Mijiritsky E, Russe P, Barbu H, Levin L. Inferior alveolar nerve transposition and reposition for dental implant placement in edentulous or partially edentulous mandibles: a multicenter retrospective study. Int J Oral Maxillofac Surg. 2013 May;42(5):656-9.
    1. Morrison A, Chiarot M, Kirby S. Mental nerve function after inferior alveolar nerve transposition for placement of dental implants. J Can Dent Assoc. 2002 Jan;68(1):46-50.
    1. Kan JY, Lozada JL, Goodacre CJ, Davis WH, Hanisch O. Endosseous implant placement in conjunction with inferior alveolar nerve transposition: an evaluation of neurosensory disturbance. Int J Oral Maxillofac Implants. 1997 Jul-Aug;12(4):463-71.
    1. Peleg M, Mazor Z, Chaushu G, Garg AK. Lateralization of the inferior alveolar nerve with simultaneous implant placement: a modified technique. Int J Oral Maxillofac Implants. 2002 Jan-Feb;17(1):101-6.
    1. Khajehahmadi S, Rahpeyma A, Bidar M, Jafarzadeh H. Vitality of intact teeth anterior to the mental foramen after inferior alveolar nerve repositioning: nerve transpositioning versus nerve lateralization. Int J Oral Maxillofac Surg. 2013 Sep;42(9):1073-8.
    1. Alling CC. Lateral repositioning of inferior alveolar neurovascular bundle. J Oral Surg. 1977 May;35(5):419.
    1. Jensen O, Nock D. Inferior alveolar nerve repositioning in conjunction with placement of osseointegrated implants: a case report. Oral Surg Oral Med Oral Pathol. 1987 Mar;63(3):263-8.
    1. Rosenquist B. Fixture placement posterior to the mental foramen with transpositioning of the inferior alveolar nerve. Int J Oral Maxillofac Implants. 1992 Spring;7(1):45-50.
    1. Hassani A, Motamedi MHK, Saadat S. Inferior alveolar nerve transpositioning for implant placement. Oral Maxillofac Surg. 2013 Jun;26. URL: .
    1. Chien PF, Khan KS, Siassakos D. Registration of systematic reviews: PROSPERO. BJOG. 2012 Jul;119(8):903-5.
    1. Moher D, Liberati A, Tetzlaff J, Altman DG. PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Int J Surg. 2010;8(5):336-41.
    1. Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions. Wiley, 2008:187-241. URL: .
    1. Dal Ponte GL, Toledo GL, Toledo-Filho JL, Marzola C, Pastori CM, Zorzetto DL, Capelari MM. Lateralization and transposition use of the inferior alveolar nerve before the advent of short implants. Surgery and Maxillofacial Traumatology sponsored by the Hospital Association of Bauru - Base Hospital and the Brazilian College of Oral and Maxillofacial Surgery and Traumatology. URL: .
    1. Vasconcelos Jde A, Avila GB, Ribeiro JC, Dias SC, Pereira LJ. Inferior alveolar nerve transposition with involvement of the mental foramen for implant placement. Med Oral Patol Oral Cir Bucal. 2008 Nov 1;13(11):E722-5.
    1. Suzuki D, Bassi AP, Lee HJ, Alcântara PR, de Sartori IM, Luvizuto ER, Faco EF, Faot F. Inferior alveolar nerve lateralization and implant placement in atrophic posterior mandible. J Craniofac Surg. 2012 Jul;23(4):e347-9.
    1. Chrcanovic BR, Custódio AL. Inferior alveolar nerve lateral transposition. Oral Maxillofac Surg. 2009 Dec;13(4):213-9. Review.
    1. Proussaefs P. Vertical alveolar ridge augmentation prior to inferior alveolar nerve repositioning: a patient report. Int J Oral Maxillofac Implants. 2005 Mar-Apr;20(2):296-301.
    1. Ferrigno N, Laureti M, Fanali S. Inferior alveolar nerve transposition in conjunction with implant placement. Int J Oral Maxillofac Implants. 2005 Jul-Aug;20(4):610-20.
    1. Kan JY, Lozada JL, Boyne PJ, Goodacre CJ, Rungcharassaeng K. Mandibular fracture after endosseous implant placement in conjunction with inferior alveolar nerve transposition: a patient treatment report. Int J Oral Maxillofac Implants. 1997 Sep-Oct;12(5):655-9.
    1. Karlis V, Bae RD, Glickman RS. Mandibular fracture as a complication of inferior alveolar nerve transposition and placement of endosseous implants: a case report. Implant Dent. 2003;12(3):211-6.
    1. Proussaefs P. Inferior alveolar nerve transposing in a situation with minimal bone height: a clinical report. J Oral Implantol. 2005;31(4):180-5.
    1. Gasparini G, Boniello R, Saponaro G, Marianetti TM, Foresta E, Torroni A, Longo G, Azzuni C, Cervelli D, Pelo S. Long term follow-up in inferior alveolar nerve transposition: our experience. Biomed Res Int. 2014;2014:170602.
    1. Hashemi HM. A modified technique of inferior alveolar nerve repositioning: results in 11 patients. Acta Med Iran. 2006;44(4): 273-6. URL: .
    1. Barbu HM, Levin L, Bucur MB, Comaneanu RM, Lorean A. A modified surgical technique for inferior alveolar nerve repositioning on severely atrophic mandibles: case series of 11 consecutive surgical procedures. Chirurgia (Bucur). 2014 Jan-Feb;109(1):111-6.
    1. Cawood JI, Howell RA. A classification of the edentulous jaws. Int J OralMaxillofac Surg. 1988 Aug;17(4):232-6.
    1. Del Castillo Pardo de Vera JL, Chamorro Pons M, Cebrián Carretero JL. Repositioning of the inferior alveolar nerve in cases of severe mandibular atrophy. a clinical case. Med Oral Patol Oral Cir Bucal. 2008 Dec 1;13(12):E778-82.
    1. Quantius B. Lateralization of the inferior alveolar nerve. Report. Implants. 2010 Mar. URL: .
    1. Campbell N, Brandom B, Day JW, Moxley T. Practical suggestions for the anaesthetic management of a myotonic dystrophy patient. Myotonic Dystrophy Foundation. Toolkit. p. 73-80. URL: .

Source: PubMed

Sponsor e collaboratori

Condizioni mediche

Interventi farmacologici

3
Sottoscrivi