Simultaneous Reconstruction of Atrophic Mandible and Inferior Alveolar Nerve for Dental Implants

Case presentation of surgical technique: 56 yo AAF presents as referral for evaluation of left atrophic mandible with dysesthesia. She had 2 dental implants in the left mandible with bone graft. Immediately post-op she developed numbness/sharp shooting pains. She underwent a second surgery for debridement of bone graft. Patient still suffers with pain and atrophic mandible. She wants to have bone graft for dental implants and nerve repair at the same time. Using Technique: Using sandwich bone graft technique for atrophic mandible and repairing of an inferior alveolar nerve at the same time.

References:

1. Farm and M. Long-term results after horseshoe sandwich osteotomy of the edentulous maxilla as a preprosthetic procedure. J Craniomaxillofac Surg. May-Jun 1992;20(4):171-177. 2. Jensen OT. Alveolar segmental "sandwich" osteotomies for posterior edentulous mandibular sites for dental implants. J Oral Maxillofac Surg. Mar 2006;64(3):471-475. 3. Jensen OT, Kuhlke L, Bedard JF, White D. Alveolar segmental sandwich osteotomy for anterior maxillary vertical augmentation prior to implant placement. J Oral Maxillofac Surg. Feb 2006;64(2):290- 296. 4. Trigeminal Nerve Injuries, Michael Miloro, 2013