Reposicionamiento del nervio

El nervio dentario inferior, lo que da la sensación de que el labio inferior y la barbilla, may need to be moved in order to make room for the placement of dental implants in the lower jaw. This 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, opciones menos agresivas se consideran primero (placement of blade implants, etc).

Típicamente, 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. A continuación, el paquete es liberado y vuelve a colocar sobre los implantes. El acceso quirúrgico se rellena con material de injerto óseo de elección del cirujano y se cierra el área..

These procedures may be performed separately or together depending upon the individual’s condition. Como se dijo anteriormente, hay varias áreas del cuerpo que son adecuados para la consecución de los injertos de hueso. 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, por lo general obtener los mejores resultados.

En muchos casos, podemos utilizar material de aloinjerto para implementar un injerto de hueso para los implantes dentales. This bone is prepared from cadavers and is used to get the patient’s own bone to grow into the repair site. Es muy eficaz y muy seguro. Los materiales sintéticos también se pueden utilizar para estimular la formación ósea. Incluso utilizamos factores de su propia sangre para acelerar y promover la formación de hueso en zonas de injerto.

These surgeries are performed in the out-office surgical suite under IV sedation or general anesthesia. Después del alta, bed rest is recommended for one day, as well as limited physical activity for one week.