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 in office experience was wonderful. My daughter loved Josie. Her and Dr Solomon made the extractions a breeze for my 9-yr-old. - Christina A Everyone was professional and personable; had a great experience. - Helene G Dr. Salomon and staff were amazing! Had all 4 wisdom teeth taken out, 2 of which were high risk along the nerve. Executed the surgery perfectly. Highly recommend! Came all the way from New York City for the procedure! - Keith S I cannot speak highly enough about the Guilford office. The ladies at the desk were so helpful and spoke to me with a smile, even when complications arose with some paperwork. Doctor Salomon and the surgical assistants eased all of my nerves going into my extraction and even had me laughing before it started. Doctor Salomon is very clear with instructions and answered all of my questions at my consultation and follow-up. The surgery was very quick and had no complications. I had very little discomfort after extraction and almost no swelling. Again, I very highly recommend Doctor Salomon and his staff in guilford. - Amy P I needed to have multiple implants and had put it off for a long time because I was scared. Dr. Johnson was so kind and really listened to my concerns. I choose to have my implants done with sedation. My fear of the unknown was so much worse than the actual procedure itself. I would highly recommend Dr. Johnson and his staff. - Krystina D My wisdom teeth removal went as smooth as could be. The front desk staff was diligent & knowledgable and the wait time was slim to none. Kathy, the surgical assistant, was incredibly nice, professional, and reassuring. Dr. Salomon is an absolute pro. My teeth were out in less than 20 minutes and I had minimal pain afterwards. Even when I was loopy from the anesthesia directly after the procedure, the staff was nothing but fun & professional. I would recommend Hamden-Shoreline to anyone. - Jillian D Very good experience. I have had two other implants done years ago at another place. This one went smoothly, little pain, even the first evening. Thank you. - Ksana L wsw - g g g I'm glad we decided to choose Hamden Shoreline for our child's wisdom teeth removal. The office staff was wonderful. Nancy in the Guilford office spent a lot of time on the phone with me due to my son's hectic filming schedule and reassured me that he was in good hands. She went out of her way to make sure to get us an appointment. The two Ally's that assistant Dr. Salomon were wonderful. My son was very scared and they went above and beyond to help him through this process. The office staff was very efficient and helpful with the appointments. I would recommend Dr Salomon to all my friends. - Jake G Dr. Salomon did a great job with the surgery. I had little to no pain afterward and also did not bruise at all. - Mya Y Dr. Salomon and HSOMS staff provided excellent service at all times leading up to and after surgery. I highly recommend their practice, you will be in good hands! - Sydney A Having your wisdom teeth removed is hardly a pleasant experience, but the staff at this practice made it as good as it could possibly be. I recommend them highly! - Stephanie C I am so thankful for Dr. Salomon and the entire staff at HSOMS and I highly recommend the practice. - Julie M Fantastic visit. - Nadina J Had a great experience thanks! - Andrew M Had a great experience thanks! - Andrew MCoastal Connecticut Oral & Maxillofacial Surgery
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