Nerve Repositioning

What is Nerve Repositioning?

The inferior alveolar nerve which gives feeling to the lower lip and chin may need to be moved in order to make room for placement of dental implants to the lower jaw. This procedure is limited to the lower jaw and indicated when teeth are missing in the area of the two back molars and/or and second premolar, with the above-mentioned secondary condition. Since this procedure is considered a very aggressive approach (there is almost always some postoperative numbness of the lower lip and jaw area, which dissipates only very slowly, if ever). Usually other, less aggressive options are considered first (placement of blade implants, etc.).

The Nerve Repositioning Process

Typically we remove an outer section of the cheek side of the lower jawbone in order to expose the nerve and vessel canal. Then we isolate the nerve and vessel bundle in that area, and slightly pull it out to the side. At the same time we place the implants, we’ll be tracking the neuro-vascular bundle. Then the bundle is released and placed back over the implants. The surgical access is refilled with bone graft material of the surgeon’s choice and the area is closed.

These procedures may be performed separately or together depending upon the individual’s condition. As stated earlier, there are several areas of the body that are suitable for attaining bone grafts. In the maxillofacial region, bone grafts can be taken from inside the mouth, in the area of the chin or third molar region or in the upper jaw behind the last tooth. In more extensive situations, a greater quantity of bone can be attained from the hip or the outer aspect of the tibia at the knee. When we use the patient’s own bone for repairs or addition, we generally get the best results.

Allografts

In many cases, we can use allograft material to implement bone grafting for dental implants. This bone is prepared from cadavers and used to get the patient’s own bone to grow into the repair site. It is quite effective and very safe. Synthetic materials can also be used to stimulate bone formation. We even use factors from your own blood to accelerate and promote bone formation in graft areas.

These surgeries are performed in the out-office surgical suite under IV sedation or general anesthesia. After discharge, bed rest is recommended for one day and limited physical activity for one week.

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Facial Surgery Center

5 out of 5 stars based on 213 Nerve Repositioning reviews

Patient Review by Malea V

Love Dr Bowman & his Staff. He even called to check on patient himself!!!

- Malea V

5 out of 5 stars on

Patient Review by Tiff H

Extremely professional, knowledgeable, and very friendly staff! 10 out of 10 would recommend for any oral surgery needed

- Tiff H

5 out of 5 stars on

Patient Review by K B

Would highly recommend. Staff pleasant

- K B

5 out of 5 stars on

Patient Review by Carol M

Great staff and Doctor

- Carol M

5 out of 5 stars on

Patient Review by Cindy I

I was very comfortable with all interactions and procedures

- Cindy I

5 out of 5 stars on

Patient Review by J R

I was throughly surprised at how smooth the procedure went. I had no pain or issues. The office staff are all polite and seem to have a great working atmosphere. Dr. Bowman is awesome and I would definitely recommend him to anyone.

- J R

5 out of 5 stars on

Patient Review by Susan M

This was my first time for serious dental treatment and Dr. Bowman and staff took all the nervousness away and made me feel like they truly wanted me to be happy with my experience, and I was.

- Susan M

5 out of 5 stars on

Patient Review by Shawn F

Satisfied with the care and procedure

- Shawn F

4 out of 5 stars on

Patient Review by L K

Great and made easy

- L K

5 out of 5 stars on

Patient Review by Madelyn B Hiatt

Great staff

- Madelyn B Hiatt

5 out of 5 stars on

Patient Review by C C

Fantastic, very friendly, easy process.

- C C

5 out of 5 stars on

Patient Review by Randy T

Easily can recommend this facility to anyone in need of the services they provide.

- Randy T

5 out of 5 stars on

Patient Review by Shane G

Great job !

- Shane G

5 out of 5 stars on

Patient Review by Paul F

Very professional and competent

- Paul F

5 out of 5 stars on

Patient Review by Becky W

Appointments are quick and staff are friendly

- Becky W

5 out of 5 stars on

Patient Review

The entire clinic treated me with kindness and compassion. Dr. Bowman was very knowledgeable and professional. Monica was an absolute sweetheart.

- Anonymous

5 out of 5 stars on

Patient Review by N A

Very satisfied

- N A

5 out of 5 stars on

Patient Review by Tracy H

Very friendly and efficient doctor and staff

- Tracy H

5 out of 5 stars on

Patient Review by Dana H

Very pleasant experience over all.

- Dana H

5 out of 5 stars on

Patient Review

My implants couldn’t gone any better.

- Anonymous

5 out of 5 stars on