Akademik Veri Yönetim Sistemi
Selcuk Dental Journal, cilt.8, sa.3, ss.832-838, 2021 (Scopus, TRDizin)
Inferior alveolar nerve is one of the important anatomical landmark in implant surgery in the posterior region of the mandible. Following tooth extraction and long-term edentualism, the alveolar crest becomes resorbed and the inferior alveolar nerve gets close to the alveolar crest hill. As a result, in most cases, there is not enough vertical bone distance for to place the implant in the posterior mandibular region. Various methods have been developed for implant placement to avoid nerve injury in the mandibular posterior region. These include, utilizing short implants, vertical augmentations using autogenous or allogenic bone grafts, repositioning the nerve (lateralization or transposition) and distraction osteogenesis. Although repositioning of the inferior alveolar nerve seems to be a hazardous surgery, this procedure has many advantages, when performed with technical precision, such as shortening the total treatment time, not requiring a second surgery, not necessitating an extra cost and enabling longer implants to be placed in the area. In this case report, the removal of the failed implant and also the four-year follow-up of the patient with a long implant placement simultaneously with nerve reposition was presented. Within the limits of this case, it can be concluded that, successful results can be obtained with nerve reposition technique as a consequence of proper diagnosis of the patient, precise manuplation and comprehensive knowledge of the regional anatomy.