Understanding Nerve Repositioning: When and Why It’s Needed
When significant bone loss occurs in the lower jaw, it can make traditional dental implant procedures challenging, especially in areas where the inferior alveolar nerve is present. This nerve controls sensation in the lower lip and chin. If the bone height is too low, standard implants could risk nerve damage, causing numbness or altered sensations.
In these cases, nerve repositioning (or nerve lateralisation) becomes a vital option. This specialised technique relocates the nerve safely to allow the placement of longer, more secure implants. It’s ideal for patients who need implants in the back of the lower jaw but lack the bone height to support them. Rather than relying on bone grafting, nerve repositioning offers a more efficient method for restoring the lower jaw’s function and aesthetics.
Steps in the Nerve Repositioning Procedure
- Evaluation & Imaging – We begin with a thorough consultation and 3D CT scan to assess the jawbone and the positioning of the inferior alveolar nerve.
- Precise Incision & Nerve Exposure – A small incision is made to expose the nerve within its natural canal along the lower jaw.
- Careful Nerve Relocation – The nerve is gently moved to the side, creating the necessary space for dental implant placement.
- Implant Placement – Depending on the situation, the implants may be placed during the same procedure or scheduled for a later visit.
- Bone Grafting (if required) – To ensure stability and promote proper healing, bone graft material may be added to support the implant.
- Healing & Integration – The healing process typically takes 2-3 months, allowing the implants to integrate with the bone, while the nerve recovers in its new position.
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Recovery, Risks, and Long-Term Results
Nerve repositioning is a sophisticated procedure that requires careful recovery. While the majority of patients experience temporary tingling or numbness in the lower lip and chin after the procedure, these sensations usually improve over time as the nerve adapts.
Key Considerations:
✅ Avoiding Complex Bone Grafting – For patients with significant bone loss, nerve repositioning can eliminate the need for more extensive bone grafting procedures.
✅ Sensory Changes – Some patients may experience mild to moderate sensory changes, such as tingling or numbness, which typically resolve after a few months.
✅ Expertise is Crucial – Choosing a skilled implantologist is critical to reducing risks and ensuring precise nerve handling during surgery.
If you’ve been told you’re not a candidate for dental implants due to insufficient bone height, nerve repositioning could be the solution you’ve been waiting for. Contact with our expert team at Smilo Dental Implants Bristol today and find out how this advanced procedure can restore your smile with minimal risk and maximum results
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Dental Implants Bristol
Call hello@dental-implants-bristol.co.uk