Nerve Repositioning in Clarksville & Pleasant View, TN

Nerve repositioning, also known as nerve repositioning surgery or mandibular nerve repositioning, is a surgical procedure aimed at relocating the inferior alveolar nerve to facilitate the placement of dental implants. This nerve runs through the mandibular canal and provides sensation to the lower jaw, including the lower teeth, gums, and chin. In some cases, when the available bone is insufficient for implant placement, the nerve may be in the way, and repositioning becomes necessary to avoid complications and ensure the successful placement of dental implants. 

The procedure is especially relevant in cases where there is limited bone height in the lower jaw, often due to significant bone loss or anatomical constraints. Nerve repositioning allows oral surgeons to place implants in areas where the nerve would otherwise obstruct placement, ultimately leading to better functional and aesthetic outcomes for patients. 

Why is Nerve Repositioning Necessary? 

Nerve repositioning is often required in the following scenarios: 

• Insufficient Bone Height: When there is inadequate bone height in the lower jaw, typically following tooth loss or resorption, placing dental implants can be challenging. Repositioning the nerve helps create the necessary space for implant placement. 
• Anatomical Constraints: The position of the inferior alveolar nerve can vary among individuals. In cases where the nerve is positioned too close to the planned implant site, repositioning may be necessary to avoid nerve injury and ensure successful implant integration. 
• Complex Implant Cases: For certain complex implant cases, especially those involving multiple implants or advanced reconstructions, repositioning the nerve may be essential to achieve optimal results and avoid complications. 

The Nerve Repositioning Procedure 

The nerve repositioning procedure involves several key steps. Our team of experienced oral surgeons at Cumberland Surgical Arts and Associates follows a precise and methodical approach to ensure the highest standards of care and success. 

Preoperative Assessment 

Before the nerve repositioning procedure, a thorough assessment is conducted to plan the surgery effectively. This includes: 

• Medical History Review: A comprehensive review of your medical history, including any conditions or medications that might affect the procedure. 
• Imaging: Advanced imaging techniques, such as Cone Beam CT scans, are used to evaluate the bone structure, nerve location, and overall anatomy. This helps in precise planning and execution of the procedure. 
• Treatment Planning: Based on the imaging and clinical evaluation, a customized treatment plan is developed to address your specific needs and ensure the best possible outcome. Call us to learn more.

Anesthesia 

To ensure your comfort throughout the procedure, we use local anesthesia to numb the surgical area. Sedation options may also be offered to help you relax and remain at ease during the surgery. 

Surgical Procedure 

During the nerve repositioning surgery, the following steps are typically performed: 

• Incision: An incision is made in the gum tissue or inside the mouth to access the underlying bone and nerve. 
• Nerve Exposure: The inferior alveolar nerve is carefully exposed. This step requires precision to avoid damaging the nerve or surrounding structures. 
• Nerve Repositioning: The nerve is gently repositioned to a new location within the mandibular canal or adjacent to it. This involves carefully maneuvering the nerve while ensuring it remains intact and functional. 
• Bone Preparation: The bone is prepared for dental implant placement, creating the necessary space and ensuring stability for the implants. 
• Closure: The incision is closed with sutures, and the area is allowed to heal. We ensure that the nerve is properly positioned and that the bone graft or implants are placed as planned. 

Postoperative Care 

After the nerve repositioning procedure, proper care is essential for optimal healing and recovery. Our team provides detailed postoperative instructions, which may include: 

• Pain Management: Prescribed medications to manage any discomfort and promote a smooth recovery. 
• Oral Hygiene: Guidelines for maintaining oral hygiene to prevent infection and promote healing. 
• Follow-Up Visits: Regular follow-up appointments to monitor the healing process, assess the position of the nerve, and ensure the success of the implants. 

Benefits of Nerve Repositioning 

Nerve repositioning offers several benefits, particularly in complex dental implant cases: 

• Enhanced Implant Placement: By relocating the nerve, oral surgeons can create the necessary space for placing dental implants in areas where it would otherwise be challenging or impossible. 
• Improved Functional Outcomes: Proper implant placement leads to improved chewing function, speech, and overall oral health. 
• Aesthetic Enhancement: Successful implant placement can enhance the appearance of your smile by filling gaps left by missing teeth. 
• Increased Success Rate: Nerve repositioning can significantly improve the success rate of dental implants by ensuring adequate bone support and avoiding nerve-related complications. 

Conclusion 

Nerve repositioning is a valuable procedure for patients who require dental implants but have anatomical constraints or insufficient bone height. At Cumberland Surgical Arts and Associates, our experienced oral surgeons are here to guide you through every step of the process, from initial assessment to postoperative care. Our goal is to provide you with the highest level of care and ensure a successful outcome for your oral health. 

If you are considering nerve repositioning or have any questions about the procedure, we invite you to contact us for a consultation. Let us help you achieve a healthier, more confident smile with expert care and personalized treatment. 

Ready to enhance your smile with expert care? At Cumberland Surgical Arts and Associates, we offer top-notch oral surgery services at three convenient locations. Visit our Rudolphtown Rd Suite office at 2285 Rudolphtown Rd Suite 200, Clarksville, TN 37043, or our Parkway office at 1275 Parkway Pl, Clarksville, TN 37042, or our Pleasant View office at 2524 TN-49E, Pleasant View, TN 37146. Call us today at (931) 552-3292 or send a fax at 931-552-3243 to schedule your consultation and take the first step toward a healthier, more confident you!