The Use of Advanced Technology to Avoid Injury of the Inferior Alveolar Nerve during Implant Surgery

Introduction. The aim was to present and evaluate strategy of avoidance the inferior alveolar nerve injury during implantation procedure using the advanced technology (3D x-ray and piezosurgery) in cases of the emphasized mandibular atrophy. Cases Report. 3 healthy females and 9 males, aged 47-60 years, were treated by implant supported dentures using the advanced technology. Patients were treated successfully and signs of nerve injury were not noted. They were advised to inform on the possible signs of prolonged paraesthesia or anaesthesia after the procedure. 3 months later, they were rehabilitated with implant supported bridges. Conclusions. The use of piezosurgery reduces the overall surgical time and allows better surgical control over the neurovascular bundle. The use of 3D x-ray device provides us a full map of the nerve path and reduces probability of nerve injury.