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 the placement of dental implants in the lower jaw. A nerve repositioning procedure is limited to the lower jaw and may be indicated when teeth are missing in the area of the two back molars and/or second premolars. This procedure is considered a very aggressive approach since there is almost always some postoperative numbness of the lower lip and jaw area, which typically dissipates very slowly, but may be permanent. Usually other, less aggressive options are considered first (placement of blade implants, etc).

Typically, we remove an outer section of the cheek on the side of the lower jaw bone in order to expose the nerve and vessel canal. We then isolate the nerve and vessel bundle in that area and slightly pull it out to the side. We then place the implants while 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.

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Nerve Repositioning Process

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 additions, we generally get the best results.

In many cases, we can use allograft material to implement bone grafting for dental implants. This bone is prepared from cadavers and is 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, as well as limited physical activity for one week.

Northwest Oral & Maxillofacial Surgery

5 out of 5 stars based on 44 Nerve Repositioning reviews

Our Latest Patient Testimonials

Nothing needs to Chang every one is great

- Dorothy S

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I would recommend this office to anyone needing dental care. They are kind, compassionate and professional. I felt very well cared for.

- Alexander D

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The best staff so nice so welcoming

- Charles Herrimgton

5 out of 5 stars on

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Dr. Harvey and staff are Amazing. Having surgery can be stressful but they all are warm and kind and have a special way of putting your mind at ease. All my questions are answered and I feel well informed with each appointment.

- Cindy P

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Great office.

- Sydney M

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Thank you for making this such a calm experience. I was very nervous and everyone made me feel very good about everything. Thank you for explaining everything clearly and putting me at ease.

- Kathy M

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This facility’s personnel was highly enthusiastic and courteous throughout my whole experience.

- Devin C

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Defiantly a professional environment with kind people whom want to better the wellbeing of their customers

- Mitch M

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Our Latest Patient Testimonials

Thanks for helping me out with my smile again

- Jeffrey S

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Listened to my needs and concerns, then helped me feel relaxed and ready to be healed. Thank you so much!

- Joseph H

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Our Latest Patient Testimonials

This process can be scary for a lot of people and being sedated during it was a fear of mine. The staff was friendly and patient. They encouraged me throughout the whole process and was so kind. I felt that everything went so smoothly.

- Rachel C

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The staff was very friendly and made me feel at ease throughout the hole procedure.

- Brian T

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I was scared and put this off. They made it very inviting and less scary. I felt so much relief after leaving and I would come back again. I will come back again.

- Chyna B

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Love Dr. Harvey and all the staff! Thank you

- Janice N

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Surgery was great, doctor and assistant were very helpful with what I needed done

- Karl H

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The staff are very friendly I would recommend this place to everyone

- Nathanial S

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Great Place Great People & Exellent Service

- Oriana S

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Great work and fast too

- Ekaterina B

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Love love love this place

- Samantha heinlen J

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One of the most comfortable times I have ever had at the Dentist! Awesome experience!

- Jim S

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