INFERIOR ALVEOLAR NERVE REPOSITIONING IN THE ATROPHIC POSTERIOR MANDIBULAR ALVEOLAR RIDGE

하악 무치악 인공치아매식술시 하치조신경 전위술

  • Choi, Eui-Hwan (Dept. of Oral & Maxillofacial Surgery, Dept. of Oral & Maxillofacial Radiology, College of Dentistry, Chosun University) ;
  • Ha, Jeong-Wan (Dept. of Oral & Maxillofacial Surgery, Dept. of Oral & Maxillofacial Radiology, College of Dentistry, Chosun University) ;
  • Kim, Su-Gwan (Dept. of Oral & Maxillofacial Surgery, Dept. of Oral & Maxillofacial Radiology, College of Dentistry, Chosun University) ;
  • Chung, Tae-Young (Dept. of Oral & Maxillofacial Surgery, Dept. of Oral & Maxillofacial Radiology, College of Dentistry, Chosun University) ;
  • Kim, Soo-Heung (Dept. of Oral & Maxillofacial Surgery, Dept. of Oral & Maxillofacial Radiology, College of Dentistry, Chosun University)
  • 최의환 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 하정완 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 김수관 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 정태영 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 김수흥 (조선대학교 치과대학 구강악안면외과학교실)
  • Published : 2001.06.30

Abstract

Modified surgical technique for transposition of the inferior alveolar nerve followed by immediate placement of endosseous implants in mandibles with moderate to severe atrophy are presented. Five transpositions of the inferior alveolar nerve together with the installation of 10 implants were performed in four patients. The mean postoperative follow-up time was 17 months, with a range of 8 to 20 months. All implants with functioning pontics remained stable, with no mobility or symptoms of pain and infection during the follow-up period. Neurosensory evaluation was performed using the two-point discrimination test. Two patients had objective neurosensory dysfunction at postoperative, but all the nerve function were reported as normal by the patients 4 months postoperatively.

Keywords