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.
Are You Ready to Transform Your Smile?
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
Our Latest Patient Testimonials
One of the most comfortable times I have ever had at the Dentist! Awesome experience!
- Jim S
Our Latest Patient Testimonials
I’m completely satisfied with the procedure and staff was very professional + courteous.
- Rubi M
Our Latest Patient Testimonials
I am very pleased with how well my surgery went.
- Logan P
Our Latest Patient Testimonials
Everyone was very kind and knowledgeable.
- Gregory R
Our Latest Patient Testimonials
Good place, got what I needed done, done!
- Sierra G
Our Latest Patient Testimonials
Everything went well. My experience was very good with everything.
- Marina D
Our Latest Patient Testimonials
I would most definitely return and will have more visits
- Jamie b L
Our Latest Patient Testimonials
I felt like the procedure went extremely well and I am happy with the fact that I healed up fast. Also satisfied with the care and help of the staff along the way.
- Olivia W
Our Latest Patient Testimonials
I am happy with the quality of care the staff have given me. Thank you.
- Sebrina D
Our Latest Patient Testimonials
Def recommend this place.
- Paul G
Our Latest Patient Testimonials
They’re the best!
- Richard
Our Latest Patient Testimonials
Thanks for being so kind and helpful! The only hiccup was wait time for my final follow-up. I ended up being seen more than 20 minutes after my scheduled appointment. Otherwise, excellent care and service. 🙂
- Molly P
Our Latest Patient Testimonials
I had a great experience with Northwest Oral. This was my first dental surgery and they were very kind and worked with me to make sure I was comfortable the whole time. The staff was very friendly and helpful with any questions I had. I 100% would recommend
- Cora-Jane W
Our Latest Patient Testimonials
Love medical assistant. Very friendly and knowledgeable.
- Dana F
Our Latest Patient Testimonials
The staff were all nice and informative about the process. They told me what to expect and went over the process thoroughly.
- Kevin P
Our Latest Patient Testimonials
Great experience overall. Staff was friendly and informative. Dr. Was Knowledgeable & explained everything in detail.
- Aura S
Our Latest Patient Testimonials
Getting a tooth pulled can be traumatic! I was put at ease with the friendly and helpful staff, and Doctor, too. I felt confident and relaxed with the procedure and everyone involved. I would come here again for any procedure for me or my family! Thank you so much!
- Alice S
Our Latest Patient Testimonials
I thought coming to this location would be a pain but the staff’s friendliness made it a good experience.
- Kylee L
Our Latest Patient Testimonials
Dr and staff were awesome. Thanks with helping on my complicated problem ,
- Jeff M
Our Latest Patient Testimonials
Everyone was overall nice. I get scared coming to the dentist these people made it really easy. And it’s my first time have stitch’s n going under and everything turned out way better than I was hoping
- Cody C