Comprehensive Board Review Course

Abstract:
 

The nerve transpositioning procedure is a surgical technique whereby the inferior alveolar nerve is placed in a posterior position to increase the ability to place longer implants in a mandible when there is an intensive resorption of the posterior ridge. Nerve transpositioning gives a better chance of osseointegration of the implant. There is no contact nerve to implant and there is no stress to the nerve during the surgery by pulling and stretching. If the patient agrees and there is no other easier and less risky option to manage the treatment, nerve transpositioning can be the preference for a severe atrophied mandibles ,and this procedure risk is minimized by the development of technology,the use of piezosurgery machines while performing the access to the window,makes the procedure almost risk free to the patient and to the operator, treatment time is reduced ,and the possibility to do the surgery under local anesthesia makes it a first choice for treating the severly atrophied mandible as the advantages are very clear and illustrated in the following points

1.Fast treatment only one surgical procedure including implants placements and may be, immediate loading.

2. Gain more than 12 mm of bone height for    

    longer implants which means long term success when compared with the durability of short implants

3. Only one surgical procedure, bicortical fixation,

    no angulation of the implants, no pressure on

    the nerve by the prosthesis

the author also will discuss  the different surgical options for treating the severely atrophied posterior  mandible

 

Bone graft.

Subperiosteal implants.

Distraction osteogenesis.

Short implants.

All on 4 or 6 concept, Palo Malo

Author will share with audience many surgical cases performed with this advanced tecnique.