Surgical Management of an Elderly Patient with Mental Nerve Hyperesthesia: A Case Report

Yıl 2024, Cilt: 10 Sayı: 1, 123 - 130, 28.03.2024

Ömer Uranbey , Ferhat Ayrancı

https://doi.org/10.19127/mbsjohs.1374750

Öz

Prolonged use of removable dentures and age-related bone remodeling can result in atrophy of the alveolar crest and lead to functional impairments and complications such as inflammation and hypersensitivity. The effectiveness of nerve transposition surgery and implant rehabilitation in reducing these complaints in atrophic mandibles is remarkable. This case study involves a 63-year old female patient who developed trigeminal nerve neuropathy, starting after use of removable dentures, with the complaint of pain around the right foramen mentale. Advanced resorption in the posterior alveolar crests of the mandible was identified through radiological examinations. After two months, there was a significant improvement in symptoms and post-operative hypoesthesia was achieved by the agency of implant rehabilitation and the inferior transposition of the right mental nerve. This case emphasizes the importance of nerve transposition surgery in severe atrophic crests, superiorly located mental foramina or hyperesthesia induced by removable prostheses.

Anahtar Kelimeler

Bone Atrophy, Nerve Transposition, Implantology

Kaynakça

• Kadioglu MN, Șenturk MF, Oncul AMT, Cambazoğlu M. Repositioning of the Mental Nerve in Case of Severe Mandibular Atrophy: A Case Series. International Journal of Experimental Dental Science. 2014;3:41-3.
• Watanabe M, Kanno T, Sekine J. Relieving neuropathic pain of the mental nerve by vertical bone augmentation between the mental foramina: A novel technique in place of conventional inferior alveolar nerve transposition. Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology. 2016;28.
• Filipov I, Chirila L, Cristache CM. Rehabilitation of extremely atrophic edentulous mandible in elderly patients with associated comorbidities: a case report and proof of concept. Head & Face Medicine. 2021;17(1).
• Küçükkurt S, Bi̇çer Aytuğar T. Inferior alveolar nerve transposition in conjunction with dental implant placement. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2018;2017(2017).
• Shibahara T, Noma H, Yamane G, Katakura A, Takasaki Y, Tamada Y. Transposition of the mental nerve and inferior alveolar nerve trunk. The Bulletin of Tokyo Dental College. 1996;37(2):103-7.
• Morrison A, Chiarot M, Kirby S. Mental nerve function after inferior alveolar nerve transposition for placement of dental implants. Journal (Canadian Dental Association). 2002;68(1):46-50.
• Ferrigno N, Laureti M, Fanali S. Inferior alveolar nerve transposition in conjunction with implant placement. The International journal of oral & maxillofacial implants. 2005;20:610-20.
• Pollock R, Alcelik I, Bhatia C, Chuter G, Lingutla K, Budithi C, et al. Donor site morbidity following iliac crest bone harvesting for cervical fusion: a comparison between minimally invasive and open techniques. European Spine Journal. 2008;17(6):845-52.
• Chen JC, Lin LM, Geist JR, Chen JY, Chen CH, Chen YK. A retrospective comparison of the location and diameter of the inferior alveolar canal at the mental foramen and length of the anterior loop between American and Taiwanese cohorts using CBCT. Surgical and radiologic anatomy : SRA. 2013;35(1):11-8.
• Muinelo-Lorenzo J, Fernández-Alonso A, Smyth-Chamosa E, Suárez-Quintanilla JA, Varela-Mallou J, Suárez-Cunqueiro MM. Predictive factors of the dimensions and location of mental foramen using cone beam computed tomography. PloS one. 2017;12(8):e0179704.
• Metzger MC, Bormann KH, Schoen R, Gellrich NC, Schmelzeisen R. Inferior alveolar nerve transposition--an in vitro comparison between piezosurgery and conventional bur use. The Journal of oral implantology. 2006;32(1):19-25.
• Sakkas N, Otten JE, Gutwald R, Schmelzeisen R. Transposition of the mental nerve by piezosurgery followed by postoperative neurosensory control: a case report. The British journal of oral & maxillofacial surgery. 2008;46(4):270-1.
• Vasconcelos Jde A, Avila GB, Ribeiro JC, Dias SC, Pereira LJ. Inferior alveolar nerve transposition with involvement of the mental foramen for implant placement. Medicina oral, patologia oral y cirugia bucal. 2008;13(11):E722-5.
• Abayev B, Juodzbalys G. Inferior Alveolar Nerve Lateralization and Transposition for Dental Implant Placement. Part II: a Systematic Review of Neurosensory Complications. Journal of oral & maxillofacial research. 2015;6(1):e3.
• Chrcanovic BR, Custódio AL. Inferior alveolar nerve lateral transposition. Oral and maxillofacial surgery. 2009;13(4):213-9.
• Lorean A, Kablan F, Mazor Z, Mijiritsky E, Russe P, Barbu H, et al. Inferior alveolar nerve transposition and reposition for dental implant placement in edentulous or partially edentulous mandibles: a multicenter retrospective study. International journal of oral and maxillofacial surgery. 2013;42(5):656-9.
• Barbu HM, Levin L, Bucur MB, Comaneanu RM, Lorean A. A modified surgical technique for inferior alveolar nerve repositioning on severely atrophic mandibles: case series of 11 consecutive surgical procedures. Chirurgia (Bucharest, Romania: 1990). 2014;109(1):111-6.
• Vetromilla BM, Moura LB, Sonego CL, Torriani MA, Chagas OL, Jr. Complications associated with inferior alveolar nerve repositioning for dental implant placement: a systematic review. International journal of oral and maxillofacial surgery. 2014;43(11):1360-6.