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Video Details
Surgical Management of Posterior Mandible

Description:
Implant therapy is a recognized treatment for edentulous areas with long term success. Nevertheless in some critical situations we have to use complex techniques of advanced oral surgery and bone regeneration to permit the implant placement avoiding the damage of important anatomical structures, like the inferior alveolar nerve (IAN). In severe cases of posterior mandible atrophy we have to use very specific techniques to solve the problem. In these techniques we can consider the nerve transposition and the nerve lateralization. The techniques of nerve manipulation for implant placement are going to be explained in detail with some clinical cases. With this lecture we pretend to clear that oral neurosurgery is not a myth and can be a reality in specific extreme cases.

Date Added:
10/19/2017

Author(s):

Raquel Zita Gomes, DMD, PG, MsC, PhD Raquel Zita Gomes, DMD, PG, MsC, PhD
• Dental Medical Doctor by the Faculty of Dental Medicine of the University of Oporto (FMDUP) (1996-2002)

• Post-graduation in Implantology in Sweden (2002)

...
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Online Videos / Surgery / Other Surgical / Surgical Management of Posterior Mandible




Questions & Comments
ward clemmons530 - (11/6/2017 8:15 PM)

Great presentation. Thank you very much.

Raquel Gomes - (10/27/2017 3:38 PM)

Gerald Rubick In all my cases I never had any disthesia. Only temporary paresthesia or hipostesia . But it's described in the literature as a possible complication. I think the fact of using PRF ( as Prof Choukroun explained ) , vitamin B complexes and LLLT probably diminished the odds.

Raquel Gomes - (10/27/2017 3:34 PM)

Aleksandr Rubinov I use short implants , GBR, Ti-mesh , all on four , angulated implants in the correct indications. The lateralization , transposition and trespass is one more option , when the other options are not indicated. As you know the vertical growth on the posterior maxilla is difficult and sometimes not viable when you need to construct more than 10mm . And in some of these cases even if I managed that miraculous bone in height with more tradicional techniques I had unfavorable relation in height between crown and implant. Also almost every case that I did lateralization or transposition were previous implant failures and the patients wanted the less surgical interventions possible.

Raquel Gomes - (10/27/2017 3:21 PM)

Thanks Snejana , Pedro , Delia ,Somesh and Joseph for the comments.

snjezana pohl - (10/26/2017 8:48 AM)

Great clinician, great presentation! Only high-heels moment from your lecture in NY is missing lol!

pedro moura - (10/25/2017 5:16 PM)

I loved it Raquel Zita. Congratulations.

Somesh Grover - (10/25/2017 1:37 PM)

Wonderful presentation with great inspirations thanks a lot ....

Joseph Choukroun - (10/23/2017 1:12 AM)

Gerald, in surgery the nerve suffers if you have not good hands.. In this presentation, Raquel is doing the perfect surgical protocol. There is no reason to meet any complications.. Since 15 years, my friends are using PRF to avoid fibrosis around the nerve after surgery (origin of dysethesia). And it works.. what else ?

Aleksandr Rubinov - (10/22/2017 5:30 AM)

Why not just simply GBR, Titanium Mesh, etc..??

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