Abayev Boris, Juodzbalys Gintaras
Department of Maxillofacial Surgery, Lithuanian University of Health Sciences, Kaunas Lithuania.
J Oral Maxillofac Res. 2015 Mar 30;6(1):e2. doi: 10.5037/jomr.2014.6102. eCollection 2015 Jan-Mar.
The purpose of this first part of a two-part series was to review the literature concerning the indications, contraindications, advantages, disadvantages and surgical techniques of the lateralization and transposition of the inferior alveolar nerve, followed by the placement of an implant in an edentulous atrophic posterior mandible.
A comprehensive review of the current literature was conducted according to the PRISMA guidelines by accessing the NCBI PubMed and PMC database, academic sites and books. The articles were searched from January 1997 to July 2014 and comprised English-language articles that included adult patients between 18 and 80 years old with minimal residual bone above the mandibular canal who had undergone inferior alveolar nerve (IAN) repositioning with a minimum 6 months of follow-up.
A total of 16 studies were included in this review. Nine were related to IAN transposition, 4 to IAN lateralization and 3 to both transposition and lateralization. Implant treatment results and complications were presented.
Inferior alveolar nerve lateralization and transposition in combination with the installation of dental implants is sometimes the only possible procedure to help patients to obtain a fixed prosthesis, in edentulous atrophic posterior mandibles. With careful pre-operative surgical and prosthetic planning, imaging, and extremely precise surgical technique, this procedure can be successfully used for implant placement in edentulous posterior mandibular segments.
在这个分为两部分的系列研究的第一部分中，目的是回顾关于下牙槽神经移位和转位的适应症、禁忌症、优点、缺点及手术技术的文献，随后在下颌后牙区无牙萎缩性骨缺损处植入种植体。
按照PRISMA指南，通过访问NCBI PubMed和PMC数据库、学术网站及书籍，对当前文献进行全面回顾。检索1997年1月至2014年7月的文章，纳入的英文文章包括年龄在18至80岁之间、下颌管上方残留骨量极少且接受下牙槽神经（IAN）重新定位并至少随访6个月的成年患者。
本综述共纳入16项研究。9项与IAN转位相关，4项与IAN侧向移位相关，3项与转位和侧向移位均相关。文中呈现了种植治疗结果及并发症。
在下颌后牙区无牙萎缩性骨缺损中，下牙槽神经侧向移位和转位联合种植体植入有时是帮助患者获得固定修复体的唯一可行方法。通过仔细的术前手术和修复计划、影像学检查以及极其精确的手术技术，该手术可成功用于在下颌后牙区无牙节段植入种植体。
