Understanding Nerve Repositioning: When and Why It’s Required
Significant bone loss in the lower jaw can make conventional dental implants unfeasible due to the presence of the inferior alveolar nerve, which provides sensation to the lower lip and chin. When there isn’t enough bone height, nerve repositioning (also called nerve lateralisation) is a specialised procedure that involves carefully relocating the nerve to enable the placement of longer, more stable implants.
This method is mainly recommended for patients requiring implants in the posterior lower jaw who lack adequate bone height for support. Without nerve repositioning, implant placement in these areas risks damaging the nerve, potentially causing numbness or altered sensation in the lower lip and chin.
By gently shifting the inferior alveolar nerve, implantologists at Smilo Dental Implants Leeds can optimise available bone height, facilitating secure and durable implants without compromising nerve function. Although advanced, this technique often removes the need for extensive bone grafting, providing a more direct and efficient solution to restoring teeth in the lower jaw
Key Steps in the Nerve Repositioning Procedure
- Initial Assessment & Planning: Detailed 3D CT scan and digital imaging evaluate bone height and nerve location.
- Incision & Access to Bone: A precise incision exposes the inferior alveolar nerve within its natural canal.
- Delicate Nerve Repositioning: The nerve is carefully moved sideways to create space for implant placement.
- Implant Placement & Bone Support: Depending on the case, implants may be placed immediately or after healing.
- Bone Grafting for Stability: Bone graft material is often added to support healing and implant integration.
- Healing & Recovery: A 2-3 month recovery period allows for implant osseointegration and nerve adaptation before final restorations (crowns or bridges) are fitted.
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Nerve in Jaw Bone: Recovery, Risks & Outcomes
Nerve repositioning is a highly specialised surgery with unique considerations. Healing is vital for successful implant integration and nerve recovery. Most patients experience temporary numbness or tingling in the lower lip and chin, which usually improves over several months as the nerve adjusts.
Important points before choosing nerve repositioning:
✅ Alternative to Extensive Bone Grafting: Suitable for cases with severe bone loss, avoiding complex grafting surgeries.
✅ Potential Sensory Changes: While many regain normal sensation, some may experience mild tingling or longer-lasting numbness.
✅ Expertise Is Crucial: Selecting a skilled implantologist reduces risks and ensures precise nerve handling.
Ready to discuss your options? Contact Smilo Dental Implants Leeds today to arrange a thorough consultation and begin your journey to a fully restored smile!