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Transposition of the mental nerve by piezosurgery followed by postoperative neurosensory control: A case report

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Abstract

Transposition of the mental nerve is a preprosthetic procedure that is effective for patients with hyperaesthesia caused by the effect of a dental prosthesis on the alveolar ridge. We present the case of a 74-year-old woman with pain and hyperaesthesia of the right inferior alveolar nerve caused by a dental prosthesis. Caudal transposition of the right mental nerve by piezosurgery resulted in postoperative neurosensory controls of the lower lip showing normal nerve function 2 months later.

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Case report

A 74-year-old edentulous woman presented with pain in the alveolar ridge of the right mandible. Examination showed resorption of the alveolar ridge of the mandible and hyperaesthesia of the right inferior alveolar nerve caused by her dental prosthesis. Panoramic radiograph showed the position of the right mental foramen on the alveolar ridge (Fig. 1).

We did a caudal transposition of the right mental nerve trunk using piezosurgery (Mectron Piezosurgery Device, Mectron, Genova, Italy) under local

Discussion

Transposition of the mental nerve is a preprosthetic procedure that is effective for patients with hyperaesthesia caused by the effect of a dental prosthesis on the alveolar ridge.1, 2, 3 This is a procedure in which the bone is usually cut with rotating instruments and burs. Despite extreme caution, injuries caused by compression or direct trauma by the rotating instrument on nerve tissue cannot be excluded.4 The successful use of ultrasound bone-cutting devices on soft tissues has already

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