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Some patients have their mandibular nerve positioned very high in their jaw bone. The inter-arch vertical distance between the top of the crest of their mandibular jaw bone and their upper teeth is very limited. That inter-arch vertical distance is very necessary to allow room to put proper prosthetic on top of the implants, which will be placed in the mandible.
Nerve Lateralization, also known as Percutaneous Electric Nerve Stimulation (or Photo refractive Activator Application [PET]-Assisted Stimulation therapy], is a non-surgical procedure that treats pain and dysfunction in the Posterior Mandibular Joint [PMJ] by using a computer-guided heat energy source and light with pulsed light or heat energy pulses.
The inferior mandibular nerve usually exits the body of the mandible around the area of the lower bicuspids to provide a sensory supply to the lower lip. In inferior mandibular nerve lateralization surgery, The expert will remove the bone buccally (on the cheek-side) covering the inferior mandibular nerve.
The nerve is then gently moved buccally out of its channel to instead make the nerve exit the body of the mandible at the wisdom tooth area. With the advancement in surgical techniques and instrumentation, a Surgeon will use ultrasound surgical instruments to remove the bone covering the inferior mandibular nerve without inflicting harm to the nerve tissue.