What’s Nerve lateralization? Why dentist do Nerve Lateralization before implant?

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.

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Where does the mandibular nerve exist in the body?

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.

How Nerve lateralization works?

Nerve Lateralization (also called Percutaneous electrical Nerve Stimulation [PET] or Photorefractive Application (also known as PET-Assisted Stimulation therapy (PET-ASP]) is a non-surgical method of managing pain and dysfunctions within the Posterior Mandibular joint (PMJ) by using a computer-guided light source and heat source through the utilization of pulsed light as well as energy pulses.

The nerve that originates is stimulated when light or heat are directed towards the nerve by the computerised PMJ laser. The heat energy boosts circulation of blood to the nerve. This method has demonstrated promising results for treating migraine , epilepsy facial tenderness, neck pain nausea, toothache facial pain, sinusitis carpal tunnel syndrome more. The purpose of this therapy is to alleviate the pain without surgery or other procedures that are invasive.

How it help patients?

The procedure proved to be efficient for treating patients with various symptoms associated with the lower part of their limb. Following six months follow-up the results showed a significant reduction in the severity of pain for the patients.

The results of this study demonstrated that the use of nerve liberalization led to an increase in blood flow to the lower limb. This resulted in a change in the clinical appearance for the subject. The outcome of this study is encouraging and confirms the efficacy of this procedure.

How will it treat the patient who suffered from nerve-related issues?

Many neurosensory disorders are recognized to have a significant influence on people suffering from neurological impairments. These impairments can be caused by the genetic causes, corticobasal degeneration as well as stroke, multiple sclerosis or even traumatic brain injuries.

It has been discovered that nerve lateralization could aid in the treatment of various signs associated with neurosensory disorders. The neurosensory dysfunction can be addressed with this method by placing the implant over the cornea’s surface and increasing the flow of blood to this region. The increased flow of blood to the affected area triggers healing damage to nerve cells, and consequently assists patients suffering from nerve related issues.