Digitally guided alveolar nerve repositioning surgery: a novel approach to the atrophic posterior mandible

Inferior alveolar nerve repositioning is an uncommon surgical procedure performed in oral surgery to safeguard the alveolar nerve during certain dental or reconstructive procedures. While this procedure is generally safe and effective, it is important to understand the potential risks and complications associated. This article presents a computer-guided surgical stent to expedite the surgical accuracy while reducing the risks of nerve injury during alveolar nerve repositioning using local anaesthesia alone. In conclusion, the use of a bone supported guide could improve surgical outcomes, although there is an associated additional cost due to its fabrication. More cases need to be reported to determine the full benefit of a guide in relation to complex oral surgery.

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Publication Details

Journal
BDJ
Published
2026-09-11
DOI
https://doi.org/10.1038/s41415-026-9879-0
Primary Topic
Dental Radiography and Imaging
Type
article
Field-Weighted Citation Impact
0.00
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article

Digitally guided alveolar nerve repositioning surgery: a novel approach to the atrophic posterior mandible

Pynadath George
BDJ
Dental Radiography and Imaging
article

Digitally guided alveolar nerve repositioning surgery: a novel approach to the atrophic posterior mandible

Pynadath George
article en

Abstract

Inferior alveolar nerve repositioning is an uncommon surgical procedure performed in oral surgery to safeguard the alveolar nerve during certain dental or reconstructive procedures. While this procedure is generally safe and effective, it is important to understand the potential risks and complications associated. This article presents a computer-guided surgical stent to expedite the surgical accuracy while reducing the risks of nerve injury during alveolar nerve repositioning using local anaesthesia alone. In conclusion, the use of a bone supported guide could improve surgical outcomes, although there is an associated additional cost due to its fabrication. More cases need to be reported to determine the full benefit of a guide in relation to complex oral surgery.

BDJVol. 241(5)
Huddersfield Royal Infirmary (GB)
Good health and well-being
Openalex Percentile: Top 9%
Dental Radiography and Imaging
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