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Dr Ilja Sapiro MSc

Dr Ilja Sapiro MSc is the dental surgeon at Wanstead Dental. More »

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Nerve Repositioning

Nerve repositioning is a technique that is performed in the back end of the lower jaw and when a patient has missing teeth in this area and requires a dental implant.

This technique is performed when the patient does not have enough jaw bone to accommodate the dental implant or the quality of the bone is not robust enough to hold the implant. The nerve (inferior alveolar nerve) is located within the lower jaw and must be repositioned so that the dental implant can be placed.

Typical steps for nerve repositioning grafting

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An incision is made into the lower jaw bone. The nerve is carefully pulled outwards and the dental implant is screwed into place. Irradiated bone is added around the dental implant to provide more support for the dental implant.

The irradiated bone will integrate with the patient’s own bone over a period of 2-3 months.

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A surgical pad (collotape) is placed between the dental implant and the nerve. This provides support and cushioning on the nerve.

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Additional irradiated bone is added over the nerve for more support.

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After a period of 2-3 months healing period, natural tooth coloured porcelain dental crowns (or bridges) are fixed over the dental implant.