Lateralization of the Inferior Alveolar Nerve in the Rehabilitation of Mandibular Atrophy: Case Report.

The lateralization of the inferior alveolar nerve, or LIAN procedure, may be a surgical consideration for implant-prosthetic rehabilitation in the edentulous mandibular posterior region. This technique can be advantageous in that it does not require a donor site and allows for the immediate placement of an implant, potentially leading to reduced morbidity, healing time, and costs. Although such risks as altered sensory nerve function and weakening of the mandibular body are associated with the LIAN procedure, it is a viable alternative to various regenerative techniques to rehabilitate a patient with an implant-supported fixed prosthesis.

Tooth Germ Autotransplantation With 24 Months of Follow-up: A Case Report.

The autotransplantation of a third molar represents an alternative treatment solution for filling an edentulous space that may exist because of traumatic avulsion, agenesis, large carious processes, or other reasons, particularly in young patients. Autotransplantation can offer many benefits, including maintenance of a normally functioning periodontium, preservation of pulp vitality, and completion of root formation. This case report describes a successful autotransplantation of an open-apex maxillary third molar germ to replace a hopeless mandibular first molar in a growing patient. After 24 months of follow-up, the donor tooth showed physiological mobility, absence of infection and ankylosis, positive pulp vitality, and fully formed periodontal integration. Radiographic examination confirmed a remarkable radicular edification.

Autotransplantation of a mature mandibular third molar as alternative to dental implant placement: Case report.

Dental autotransplantation is defined as the movement of one tooth from one position to another, within the same patient. Autotransplantation has predictable results; in fact, many studies describe a success rate of over 90%. This article describes a case report concerning the surgical management of this surgical technique. An 18-year-old patient comes for the treatment of her left first mandibular molar (3.6) involved in decay process. An accurate radiological analysis (periapical X-ray and orthopantomographic evaluation) showed an immature left mandibular third molar (3.8), suitable as donor tooth. The mandibular first molar was extracted in an atraumatic way. The intra-alveolar septum was modified with a piezoelectric device. The tooth was slightly depressed in the socket and remained in infra-occlusion. It was stabilized by sutures and a metallic splint. Then, the autotransplanted molar was fixed with a double splinting for 4 weeks. In conclusion, the autotransplantation was followed by endodontic treatment. After 36 months of follow-up, wisdom tooth showed an improvement in clinical features in agreement with radiological examination. The success of this case can be attributed to the atraumatic surgical technique and the immature stage of the transplanted element.