A Case Report on the Management and Rehabilitation Following Implant-Related Compression of the Inferior Alveolar Nerve
DOI:
https://doi.org/10.63808/irc.v2i1.306Keywords:
Dental implant, Inferior alveolar nerve, Nerve compression, Nerve decompression, Complications, RehabilitationAbstract
Objective: This report aims to investigate the clinical manifestations, diagnostic methods, surgical management strategies, and subsequent rehabilitation options following inferior alveolar nerve (IAN) compression caused by improper implant placement.
Case Description: A 36-year-old male patient presented with persistent ipsilateral paresthesia (numbness, tingling) of the lower lip and chin region following implant placement in the mandibular posterior area at our hospital. Cone-beam computed tomography (CBCT) confirmed that the implant apex had perforated the mandibular canal and compressed the IAN neurovascular bundle. Surgical intervention involving removal of the compressing implant and concurrent IAN decompression was performed. Postoperatively, the patient’s neurological symptoms gradually alleviated. Four months post-surgery, after initial healing of the bone defect, rehabilitation was achieved using a custom abutment and all-ceramic crown. Alternative prosthetic options (such as a fixed bridge) are also discussed.
Conclusion: Precise radiographic diagnosis is crucial for confirming nerve compression. Prompt surgical intervention, involving removal of the compressing agent and nerve decompression, is an effective approach for restoring neurological function. Following confirmation of nerve recovery and bone healing, functional and aesthetic rehabilitation of the affected site can be achieved through prudent prosthetic design. This case highlights the importance of precise preoperative assessment, meticulous surgical technique, and multidisciplinary collaboration in preventing and managing such complications.
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