Failure of Osseointegrated Dental Implant After Alveolar Nerve Transposition: A Report of an Unusual Complication and Surgical Management.

Abstract:

PURPOSE:To describe an unusual case of mandibular fracture after osseointegrated dental implant removal placed after inferior alveolar nerve transposition. REPORT OF CASE:The patient underwent inferior nerve transposition for implant placement due to lack of interarch space. Two months after metal-ceramic crowns installation, the patient began to complain of pain in the region of the implant. In an attempt to remove the implant, there was a fracture of the implant, and only two third of it was removed, leaving only the apical portion of the implant in the mandible. The patient opted for the total removal of implant. At 15 days of follow-up, the patient returned with mandibular fracture, which was treated through an internal fixation with a titanium reconstruction plate of 2.0-mm thickness with locking screws. CONCLUSION:The inferior alveolar nerve transposition may represent the only rehabilitation option, especially in cases where there is insufficient bone remaining for installation of short implants with reduced interarch space.

journal_name

Implant Dent

journal_title

Implant dentistry

authors

da Costa Ribeiro R,Barbosa Luna AH,Sverzut CE,Sverzut AT

doi

10.1097/ID.0000000000000609

subject

Has Abstract

pub_date

2017-08-01 00:00:00

pages

645-648

issue

4

eissn

1056-6163

issn

1538-2982

journal_volume

26

pub_type

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