Author/Authors :
Castro Pimentel, Angélica Department of Post Graduation - Division of Implantology - School of Dentistry - University of Santo Amaro (UNISA), Sao Paulo, SP, Brazil , Antonio Sanches, Marco School of Dentistry - University of Santo Amaro (UNISA), Sao Paulo, SP, Brazil , Cardoso Ramalho, Gabriel School of Dentistry - University of Santo Amaro (UNISA), Sao Paulo, SP, Brazil , Roman-Torres, Caio Vinicius Department of Post Graduation - Division of Implantology - School of Dentistry - University of Santo Amaro (UNISA), Sao Paulo, SP, Brazil , Roberto Manzi, Marcello Department of Oral and Maxillofacial Surgery and Traumatology - School of Dentistry - University of Sao Paulo (USP), Sao Paulo, SP, Brazil , Roberto Sendyk, Wilson Graduate Program in Implant Dentistry at the University of Santo Amaro (UNISA), Sao Paulo, SP, Brazil
Abstract :
Bone resorption of the posterior mandible can result in diminished bone edge and, therefore, the installation of implants in these
regions becomes a challenge, especially in the presence of the mandibular canal and its contents, the inferior alveolar nerve. Several
treatment alternatives are suggested: the use of short implants, guided bone regeneration, appositional bone grafting, distraction
osteogenesis, inclined implants tangential to the mandibular canal, and the lateralization of the inferior alveolar nerve. The aim was
to elucidate the success rate of implants in the lateralization technique and in inferior alveolar nerve transposition and to determine
the most effective sensory test. We conclude that the success rate is linked to the possibility of installing implants with long bicortical
anchor which favors primary stability and biomechanics.
