Do you need nerve repositioning?

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Nerve Repositioning

Dental implants can be challenging to perform for some patients. One of the common reasons is when there is not enough jaw bone mass to provide ample support for the implant placement. When this is the case, a nerve repositioning is necessary.

Nerve repositioning is a dental procedure that is performed when there is insufficient bone mass to hold the dental implant in the lower jaw area. The alveolar nerve is what is being repositioned and it is not an easy procedure. It can be challenging because the alveolar nerve’s function is to give the chin and lower lip areas the ability to feel. This is crucial to know before undergoing such procedure. However, there are many experts in the field and you just have to ask for recommendations to find the right dental surgeon to perform the nerve repositioning.

Nerve repositioning is needed for the dental implants to be placed without damaging the nerve. The procedure can render the jaw and lower lip numb so a less aggressive approach, like blade implants placement, is often considered first.

If you are up for nerve repositioning, here are the standard steps to follow.

First, the dental surgeon will assess if you are eligible for nerve repositioning. You will need x-rays and/or CT scans to complete the assessment. When the dental surgeon finds you suitable for dental implant, you will be scheduled for the procedure.

To start the procedure, the dental surgeon will make an incision on the lower jaw bone to expose the alveolar nerve. In order to do this, part of the lower jaw bone needs to be removed to make the nerve visible and isolate the area before it is carefully repositioned either to the side or outwards. When it is out of harm’s way, the dental implants can then be placed. This can be done right away or another time, depending on the circumstances. The accessed part will then need to be filled again with bone graft material from the maxillofacial region (either from the chin, upper jaw at the back of the last tooth or the third molar region), surface of the tibia at the knee or the hip. Synthetic materials may also be used. In many cases, the use of the patient’s own bones for addition or repair. The surgeon will determine where to get the bone graft material.

Since the alveolar nerve is sensitive, surgical padding is placed between it and the dental implant. This is to ensure that the dental implant won’t come into contact with the alveolar nerve. The patient may be under general anesthesia or IV (intravenous) sedation throughout the procedure.

Because this is not a simple procedure, the dental surgeon must discuss fully and thoroughly with the patient its pros and cons to come up with the best and safest solution available.

After the operation, the patient is advised to limit physical activity. It is recommended to take bed rest for at least a day. Pain medication and antibiotics may also be prescribed by your surgeon.

 

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Why our Patients Recommend Midtown Dentistry

” They are all very welcoming, professional and knowledgeable, especially hygienist Loan Pham. I recently got braces and my  teeth look and feel great every time I leave her chair, even now with braces – she’s amazing.”

  • Tanya Bera Avatar

    Can't express in words my feelings for this wonderful dentistry awesome experience very helpful cooperative... read more

    Tanya Bera 2/19/2020
    Kelbie Celestine Avatar

    my hygienist Loan was the absolute best! she was super informative and very upbeat and... read more

    Kelbie Celestine 1/23/2020
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    I’m a frequent flyer at the dentist and the dental hygienist Loan has made my... read more

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    Even though I hate going to the dentist, this place goes above and beyond to... read more

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    They have great services and have been cleaning my teeth for about 5 years now.... read more

    Cameron Trainer 12/18/2019
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    The best dentist office I’ve ever visited. The best cleanings, very polite, never a long... read more

    Christina Dennis 12/06/2019
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    I've been coming here for the past 7 years. Would definitely recommend. Dentists seem to... read more

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    Dr Patel, Ronnica, Stacey, Jennifer and the entire team we’re amazing! First off I hate... read more

    Brittany woodson 11/29/2019
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    My 88-year old mother and myself are new patients of record. On our first visit... read more

    Debra Drescher 11/15/2019
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    Very welcoming, professional and knowledgeable, especially hygienist Loan Pham. I recently got braces and she... read more

    DANIELA RIBITA 11/08/2019
    Megan Lesser Avatar

    Everyone is so kind and caring at Midtown Dentistry! Dr. Patel does a great job... read more

    Megan Lesser 11/06/2019
    Luke Avatar

    I had an amazing experience getting a new night guard and the Zoom whitening treatment.... read more

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    Summerwood location is awesome. Love entire staff! Dr Truong is by far best dentist I've... read more

    Every Home 10/30/2019
    Michael Johnston Avatar

    I've been going to Midtown Dentistry for 15 years. And Loan is the only hygienist... read more

    Michael Johnston 10/30/2019
    La Monica Ward Avatar

    As always, the personnel is friendly and very receptive when you arrive. My cleanings with... read more

    La Monica Ward 10/28/2019
  • Veronica Ferguson Avatar

    I recently had a new crown put in and was a little nervous! Dr. Pham... read more

    Veronica Ferguson 10/26/2019
    Carlos Curiel Avatar

    I've been coming to Midtown for a year now and every visit is awesone. Regina... read more

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    Tony Romo Avatar

    Dr. Phan, Regina, and Allison are awesome. Dr. Phan is very gentle, Allison is very... read more

    Tony Romo 10/25/2019
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    Amazing customer service! They fit me in last minute and even searched through their numerous... read more

    Mackenzie Taylor 10/25/2019
    Ashley Forrestier Avatar

    This is the best dentist's office I've ever been to. Everybody here are so... read more

    Ashley Forrestier 10/24/2019
    Brandi Williams Avatar

    At Midtown Dentistry -everyone is top notch friendly, skilled and professional!!!!!! Dr. Patel... read more

    Brandi Williams 10/24/2019
  • Gina Pavon Avatar

    Always a great experience to see Loan. We have been going to her for many,... read more

    Gina Pavon 10/24/2019
    Amanda Garcia Avatar

    Definitely recommend this office! Very professional, polite and they work hard to build a relationship... read more

    Amanda Garcia 10/21/2019
    Jen Deale Avatar

    Loan is the best hygienist. I drive all the way from Katy just to have... read more

    Jen Deale 10/20/2019
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    I’ve been going to Midtown Dentistry for a couple of years and have always had... read more

    Caitlin Uyemura 10/19/2019
    Luiza Browning Avatar

    I had a fantastic experience at the downtown location. Dr Patel is very nice... read more

    Luiza Browning 10/18/2019
    Lee Cordova Avatar

    2 days post op on tooth extraction and I am glad I stuck with Dr.... read more

    Lee Cordova 10/18/2019
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    I hadn’t been able to get to the dentist in about a year so was... read more

    Tirsa Garrido 10/18/2019
    Ann Wooten Avatar

    I recently moved to the area and could not be happier with my new dentist!... read more

    Ann Wooten 10/18/2019
    Daphne Hernandez Avatar

    Anna is a great hygienist. I have been working with her for the past 1... read more

    Daphne Hernandez 10/17/2019

We are Closed

The safety of our patients and staff is our top priority.

Midtown Dentistry is currently not providing services for cleanings or elective appointments.

By doing so, we are helping to slow the spread of COVID-19 and Preserving the supplies of Personal Protective Equipment (PPE) for emergencies.

We look forward to restoring full-service dental services as soon as practical. We appreciate your cooperation and patience during this time

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