Nerve Repositioning
Before Lower Jaw Implants
The inferior alveolar nerve, which gives feeling to the lower lip and chin, may need to be moved in order to make room for the placement of dental implants in the lower jaw. A nerve repositioning procedure is limited to the lower jaw and may be indicated when teeth are missing in the area of the two back molars and/or second premolars. This procedure is considered a very aggressive approach since there is almost always some postoperative numbness of the lower lip and jaw area, which typically dissipates very slowly, but may be permanent. Usually, other, less aggressive options are considered first (placement of blade implants, etc).
Typically, we remove an outer section of the cheek on the side of the lower jaw bone in order to expose the nerve and vessel canal. We then isolate the nerve and vessel bundle in that area and slightly pull it out to the side. We then place the implants while tracking the neuro-vascular bundle. Then the bundle is released and placed back over the implants. The surgical access is refilled with bone graft material of the surgeon’s choice and the area is closed.
These procedures may be performed separately or together depending upon the individual’s condition. As stated earlier, there are several areas of the body that are suitable for attaining bone grafts. In the maxillofacial region bone grafts can be taken from inside the mouth, in the area of the chin or third molar region, or in the upper jaw behind the last tooth. In more extensive situations a greater quantity of bone can be attained from the hip or the outer aspect of the tibia at the knee. When we use the patient’s own bone for repairs or additions, we generally get the best results.
In many cases, we can use allograft material to implement bone grafting for dental implants. This bone is prepared from cadavers and is used to get the patient’s own bone to grow into the repair site. It is quite effective and very safe. Synthetic materials can also be used to stimulate bone formation. We even use factors from your own blood to accelerate and promote bone formation in graft areas.
These surgeries are performed in the out-office surgical suite under IV sedation or general anesthesia. After discharge, bed rest is recommended for one day, as well as limited physical activity for one week.
We provide a caring, nurturing environment where your comfort and health is of primary importance.
Hamden Office Guilford Office Schedule an AppointmentThe staff extends themselves in a friendly comfortable manner. I had the pleasure of meeting with Dr. David Salomon, who is kind and committed to his patient's. He took the time making sure I was ok, and while I wouldn't be in a hurry to have a dental procedure, when or if the time comes, I would definitely go and see him again and recommend his expertise highly. The view is very beautiful and calming looking at the water. - jayne k Dr. Salomon is exceptionally skilled. He has a great bedside manner. For something unpleasant like oral surgery, Dr. Salomon made the experience less stressful. He explained the procedure carefully, answered all my questions, and was available for questions and anxieties. We even laughed! I recommend him wholeheartedly. - Janna W The best oral surgeon in CT ! After suffering for a week with a cavity out of this world , I was lead to this awesome facility and I couldn’t have been more satisfied. From the time I called to place the appt to me checking out from the procedure , I was shown nothing but professional and hospitality. I’m so happy I met Dr . Seg , the awesome other surgeon and the tech . They had me in and out in less than a hour and had my meds sent to the pharmacy to insure that I didn’t suffer anymore after the extraction. Please go here ! I’m sending all my family here for there oral needs ! This place is a God send ! Thank you guys again , I feel like my old self . - Caprice T I can say , with no hesitation, that over the span of my 70 years I’ve had multiple doctor visits, procedures and a handful of operations. This cast of doctors, assistants and staff were superior to any I’ve encountered in my lifetime. They were professional,prompt,respectful ,kind and gentle. They are truly the model for all businesses. - Carol C I was so nervous about having my dental implant, Dr Salomon was amazing. He made me feel at ease about my procedure. He explained exactly what he was going to do. His nurse Stephanie was so sweet and funny. I would absolutely recommend Dr Salomon & Stephanie if you need an implant. - Kristina D No need to feel nervous when coming to Costal CT in guilford. Im sure there other location in Hamden is just as professional! Great staff, friendly atmosphere and everyone was following COVID RESTRICTIONS!!! - Jae P The staff was so helpful & very friendly!
Dr. Saggase and his Assistants were amazing! A very relaxed and comfortable setting in the mist of your child’s extractions!!
Thank you for making it as smooth as possible! - Laura B Thank you to Dr. Nick Saggese and his assistant Omar they were absolutely amazing. I was very concerned with the local from my past experience, but Dr. Saggese handled everything gently and I did not feel any pain. I would seriously recommend him to anyone needing an extraction done! - James D Dr.Segesse did a good job extracting a cracked tooth. - Steve H Had a impacted tooth extracted by Dr.Segesse. very wonderful staff Anna And Omar the Assistants did and amazing job by taking care of me and making very comfortable in a stressful environment. - joan B Dr. Saggese is a fantastic oral surgeon! I was in need of a tooth extraction and was very apprehensive. Dr. Saggese did a wonderful job explaining what was going to be done and what to expect! The entire procedure took less than 15 minutes and was virtually painless ! Thank you Dr. Saggese for being so patient with me and for doing such a wonderful job
Adele P - Adele P Dr Nicholas Saggese removed a growth from my upper lip which turned out to be a benign trichilemmoma tumor. Both Dr Saggese and his assistant Deena were wonderful throughout the whole procedure. I found Dr Saggese to be kind, caring and informative as he explained what he was doing from start to finish while removing my tumor. His skilled hands removed the growth which resulted in unnoticeable scarring. I highly recommend Dr Saggese and the whole group at Coastal Connecticut Oral & Maxillofacial Surgery. - Paul S Dr Nicholas Saggese removed a growth from my upper lip which turned out to be a benign trichilemmoma tumor. Both Dr Saggese and his assistant Deena were wonderful throughout the whole procedure. I found Dr Saggese to be kind, caring and informative as he explained what he was doing from start to finish while removing my tumor. His skilled hands removed the growth which resulted in unnoticeable scarring. I highly recommend Dr Saggese and the whole group at Coastal Connecticut Oral & Maxillofacial Surgery. - Paul S Didn't manage to finish my first review attempt, so here we go. You have a great staff - pleasant and knowledgeable. My procedure went very quickly and smoothly. The directions given for the recovery process were excellent.
The only thing that was tough was doing the extensive initial documentation. Fortunately, you have an electronic version so it can be done before one comes in, which is hat I did. Seems this could be greatly streamlined, though, but I have found these days that this is often the case everywhere. (By the way, I have NO IDEA what the SIMS text message mentioned below is.) - Edward W Dr.Salamon was awesome! Thank you for squeezing me in! - Michele O Before deciding to have the oral surgeons at Coastal CT Oral Surgery extract a tooth, I read all the great reviews and decided to see for myself. Well, I wasn't disappointed at all because Dr Salomon and his staff were just great. I would highly recommend them. - Marcie M Dr. Salomon and his staff were amazing. I dreaded having my tooth pulled and implant done. Although it took several visits to complete, I never felt pain and everyone was super sensitive to my fears and anxiety. -Very professional and competent. - Donna D I am still in awe about how well my appointment went. I am not a fan of the dentist in general but had an emergency & they listened to me were concerned & got me an appointment as soon as possible even in this pandemic!! The staff was excellent & very friendly. The Doctor was beyond amazing!! I literally felt no pain the whole time & that has never happened. He walked me through the whole process gave me a heads up when he was using something I fear. I would 100% go back & wish he wasn't just an oral surgeon because I would have him be my dentist!! I give them 100 stars!! - Caroline P I love these people. I formed a mucocele on my lip and it had grown tremendously over a few weeks time. Even during the coronavirus outbreak they took the time to see me and help remedy my problem. They were kind and gentle and helped me get my mucocele under control - Athena W I would greatly recommend this office and Dr. Solomon! I’m the biggest baby and didn’t shed a tear. I left with a smile and know if I need another extraction would definitely go here and my anxiety would be less! Thank you to all! - Deb PCoastal Connecticut Oral & Maxillofacial Surgery
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