Nerve repositioning in Denver, CO
Nerve repositioning is an advanced surgical procedure that may be performed to allow dental implant placement in the lower jaw when space is limited. The inferior alveolar nerve, which provides sensation to the lower lip and chin, runs through the lower jawbone. In some patients, this nerve sits too close to the surface of the bone to safely place dental implants without intervention.
This procedure is limited to the lower jaw and is typically considered when teeth are missing in the area of the back molars or second premolar. Because nerve repositioning is an aggressive approach and carries a higher risk than other implant-related procedures, it is usually recommended only after less invasive options have been carefully evaluated.
Schedule your visit at [practice_name] across the Denver Metro area, call us at one of our convenient locations, Cherry Creek, Central Park, and Parker.
When Is Nerve Repositioning Considered?
Nerve repositioning may be considered when there is insufficient vertical bone height above the inferior alveolar nerve to safely place dental implants. This situation often occurs in patients who have been missing lower back teeth for an extended period and have experienced significant bone loss.
Because this procedure carries a risk of postoperative numbness, it is typically viewed as a last resort. In many cases, alternative treatments such as shorter implants, angled implants, or bone grafting may be explored first.
What to Expect Before and After Surgery
In many cases, allograft bone material can be used instead of harvesting bone from the patient. Allograft material is derived from donated human bone and processed for safety. It serves as a scaffold that encourages the patient's own bone to grow into the grafted area. Synthetic materials and growth factors derived from the patient's own blood may also be used to enhance bone formation.
These procedures are typically performed in our office-based surgical suite under intravenous sedation or general anesthesia. After discharge, bed rest is usually recommended for one day, followed by limited physical activity for approximately one week. Detailed postoperative instructions will be provided to support healing and recovery.
Schedule your visit at [practice_name] across the Denver Metro area, call us at one of our convenient locations, Cherry Creek, Central Park, and Parker.
Nerve Repositioning Procedure
How the Procedure Is Performed
During nerve repositioning surgery, an outer section of bone on the cheek side of the lower jaw is carefully removed to expose the nerve and blood vessel canal. Once identified, the nerve and associated vessels are gently isolated and temporarily moved aside while dental implants are placed.
Implant Placement
While the nerve is protected, dental implants are placed into the jawbone. Throughout this process, special care is taken to track and safeguard the neurovascular bundle. Once the implants are positioned, the nerve is released and allowed to rest back over the implants.
Important Considerations and Risks
Nerve repositioning is considered a complex procedure with known risks. Temporary numbness of the lower lip, chin, or jaw is common following surgery. In some cases, numbness may resolve slowly over time, while in others it may be long-lasting or permanent.
Bone Grafting
The surgical access site is filled with bone graft material, and the area is closed. Bone grafts can be obtained from the chin, third molar area, upper jaw, hip, or tibia. Allograft material or synthetic materials may also be used.