Complications associated with inferior alveolar nerve repositioning for dental implant placement: a systematic review |
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Institution: | 1. Bone Repair Research Group – Osseointegration, Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthodontics, School of Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil;2. Bone Repair Research Group – Rigid Internal Fixation, Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthodontics, School of Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil;3. Post Graduate Program in Dentistry, Master Degree, School of Dentistry, Universidade Luterana do Brasil, Canoas, RS, Brazil;1. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Cukurova University, Adana, Turkey;2. Department of Oral and Maxillofacial Surgery, Paracelsus Medical University, Salzburg, Austria;3. Orthopedics, Privat Hospital Maria Hilf, Klagenfurt, Austria;4. Department of Histology, Faculty of Medicine, Cukurova University, Adana, Turkey;1. Department of Craniomaxillofacial and Oral Surgery, University Hospital of Zurich, Zürich, Switzerland;2. Private Practice, Zürich, Switzerland;3. Department of Radio-oncology, University Hospital of Zürich, Zürich, Switzerland;1. Department of Clinical Oral Oncology, Unit of Translational Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan;2. Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan;1. Faculty of Oral and Dental Medicine, Cairo University, Heliopolis, Cairo, Egypt;2. Maxillofacial Surgery Department, Ahmed Maher Teaching Hospital, Cairo, Egypt |
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Abstract: | Inferior alveolar nerve (IAN) repositioning has been used widely in recent years as an alternative approach for dental implant placement in the atrophic posterior mandible. The aim of this study was to answer the question: What are the complications associated with IAN repositioning? A systematic literature review performed in accordance with the PRISMA statement, using the PubMed (MEDLINE), Cochrane Library, and Scopus databases, identified a total of 116 articles related to this technique. Of those articles, 24 were included in the final review. Lateralization was the chosen technique in seven studies, transposition in 15 studies, and two studies reported both techniques. The longest follow-up period was 49.1 months and the shortest 6 months. Of the patients who underwent lateralization, 95.9% initially showed a neurosensory disturbance, and the condition remained at the end of the study for 3.4% of those patients. With regard to the patients who underwent transposition, neurosensory alterations were observed in 58.9% of patients initially, and the condition remained for 22.1% of those affected at the end of the study. Only one study found no neurosensory disturbance at any time. More data consolidation is necessary to determine scientifically if, which, and when the IAN repositioning technique can be recommended. |
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Keywords: | Inferior alveolar nerve dental implantation inferior alveolar nerve transposition inferior alveolar nerve lateralization |
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