Edition V07N01 | Year 2013 | Editorial Artigo Inédito | Pages 71 to 78
Introduction: Inferior alveolar nerve lateralization is an option to treat atrophic mandibles whose rehabilitation with prostheses may be limited due to vertical resorption in the posterior region and the short distance between the mandibular canal and the alveolar ridge. This surgery may result in paresthesia and sensory disturbances along the nerve path.
Objective: To evaluate inferior alveolar nerve function and patient satisfaction after lateralization.
Methods: Twenty lateralization procedures were performed together with immediate placement of 52 implants. The same surgeon operated on all patients following a standardized surgical protocol. Six months after surgery, the patients answered a questionnaire about sensory changes after surgery and satisfaction with the results of the procedure.
Results: All patients reported initial transient sensory disturbances and improvement at a mean 45 days after surgery, and some reported improvement after the third day. One had not recovered completely after 6 months. Despite sensory changes, all patients would undergo the procedure again if necessary and would recommend it to others.
Conclusions: Inferior alveolar nerve lateralization seems to be safe and predictable, with minimal and reversible sensory changes and no significant damage to patients when performed according to a standardized surgical protocol.
Campos CG, Piccoli AP, Marson FC, Anjos Neto-Filho M, Lolli LF, Silva CO. Subjective assessment of inferior alveolar nerve function after lateralization surgery. Dental Press Implantol. 2013 Jan-Mar;7(1):71-8