Dr. Fares Kablan & Prof. Samer Srouji webinar on Immediate implant loading in conjunction with CBCT guided implant placement, alongside the inferior alveolar nerve as an alternative to nerve transposition.
In cases with extreme mandibular atrophy, Inferior Alveolar Nerve (IAN) transposition may be the only option to treat a posterior edentulous mandible with an implant-supported fixed prosthesis. When the available bone above the nerve is less than 5mm, short implants, for example, can't be an option (3). An additional scenario is when the nerve is located at a central location inside the bone, prohibiting the placement of implants buccally or lingually to the nerve using a CT guide.
This technique offers several advantages including reduced treatment time, and eliminating the need for bone grafting with immediate insertion of dental implants at the same surgery, bicortical implants anchorage, and a favorable corono-radicular relationship. However, the conflicting results from studies that have determined the incidence of IAN dysesthesia with this procedure have created debate as to its appropriate use.