In order to preserve a deteriorating jawline, often dental implants are recommended to provide stimulation to the jawbone, allowing it to remain strong and maintain its function. When teeth are missing in the two back molar positions or the second premolar in the lower jaw, the alveolar nerve may be compromised upon placement of dental implants. This nerve gives feeling to your lower lip and chin, so putting it at risk is not ideal!
In these specific cases, we recommend nerve-repositioning procedures to aim to preserve this alveolar nerve. This procedure is an intense approach and only performed in a small margin of cases, as the surgery itself may put the nerve at risk. There are other options available if your jaw condition affects the mentioned locations, but in extreme situations nerve repositioning may be a risk worth taking.
During nerve repositioning, an outer section (cheek side) of your lower jawbone is removed so that we can expose the vessel canal and the nerve that runs through it. The nerve is isolated and drawn outward while a dental implant is being placed simultaneously. The nerve with its vessel will be released once the implant is in place and the bone will be replaced with graft material before the incision is closed.