Nerve Repositioning

The inferior alveolar nerve, which gives feeling to the lower lip and chin, may need to be moved in order to make room for the placement of dental implants in the lower jaw. This procedure is limited to the lower jaw and may be indicated when teeth are missing in the area of the two back molars and/or second premolars. This procedure is considered a very aggressive approach since there is almost always some postoperative numbness of the lower lip and jaw area, which typically dissipates very slowly, but may be permanent. Usually other, less aggressive options are considered first (placement of blade implants, etc).

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For more information or to schedule a consultation with Dr. Brown, Dr. Engebretsen or Dr. Kuhns, call our office in Port St. Lucie, FL!
Call us: 772-337-4798

Typically, we remove an outer section of the cheek on the side of the lower jawbone in order to expose the nerve and vessel canal. We then isolate the nerve and vessel bundle in that area and slightly pull it out to the side. We then place the implants while tracking the neuro-vascular bundle. Then the bundle is released and placed back over the implants. The surgical access is refilled with bone graft material of the surgeon’s choice and the area is closed.

These procedures may be performed separately or together depending upon the individual’s condition. As stated earlier, there are several areas of the body that are suitable for attaining bone grafts. In the maxillofacial region bone grafts can be taken from inside the mouth, in the area of the chin or third molar region, or in the upper jaw behind the last tooth. In more extensive situations a greater quantity of bone can be attained from the hip or the outer aspect of the tibia at the knee. When we use the patient’s own bone for repairs or additions, we generally get the best results.

In many cases, we can use allograft material to implement bone grafting for dental implants. This bone is prepared from cadavers and is used to get the patient’s own bone to grow into the repair site. It is quite effective and very safe. Synthetic materials can also be used to stimulate bone formation. We even use factors from your own blood to accelerate and promote bone formation in graft areas.

These surgeries are performed in the out-office surgical suite under IV sedation or general anesthesia. After discharge, bed rest is recommended for one day, as well as limited physical activity for one week.

Treasure Coast Oral & Maxillofacial Surgery & Dental Implant Surgery Center

5 out of 5 stars based on 40 Nerve Repositioning reviews

Patient Review By Justin F

Helped me save a lot of money and took away my fear of the dentist or oral surgery. Made me feel comfortable for every operation. Not to mention my new teeth look amazing. 15 years with 2 missing teeth and these folks truly amazed me.

- Justin F

5 out of 5 stars on

Patient Review By Dianne B

Dr Brown performed a quite complicated extraction after which I had no pain or swelling! I feel very comfortable putting my care in the hands of this MD, DMD, who has so much experience.

- Dianne B

5 out of 5 stars on

Patient Review By Cindee A

FIVE STAR Oral Surgeon! Wonderful staff!

- Cindee A

5 out of 5 stars on

Patient Review By Ted C

Had an upper decayed wisdom tooth and the molar directly in front of it extracted by Dr Kuhns. I could not believe how fast and painless the procedure was! Dr Kuhns and his staff were very thorough and explained everything! I am now about 36 hours after the procedure and virtually pain free following their detailed after care instructions! I cannot thank Dr Kuhns and his staff enough!.. I HIGHLY recommend!

- Ted C

5 out of 5 stars on

Patient Review By Katie P

From the time I walked in the door until the time I left. The atmosphere, the receptionist(I’m sorry I forgot her name, Janelle, the dental assistant, and Dr. Engebresten all had a calming effect and made you feel comfortable in what is usually an uncomfortable situation. I was well taken care of. It went so fast and pain free and prepped for implants. I look forward in completing the rest of my care with them. I HIGHLY recommend themThank you

- Katie P

5 out of 5 stars on

Patient Review By Karen M

Dr. Engebretsen is an excellent doctor and very thoughtful and kind. He always makes sure that I am comfortable and not experiencing any pain. I cannot be any happier than I am with him and the work he does!

- Karen M

5 out of 5 stars on

Patient Review By Matt H

I had a need for a very painful extraction and Dr. Engebretson got me in to office the same day as my request. Both he and Alyssa did my procedure and they were extremely professional and they were outstanding at keeping me informed as to what was happening throughout the entirety of the procedure. The office was very clean and well maintained and I would definitely refer anyone in need of their services. They made a very painful situation very tolerable and as pleasant as possible.

- Matt H

5 out of 5 stars on

Patient Review By Susan S

Although I had 2 teeth extracted, under anesthesia, it was a great experience. There was no pain afterwards, virtually no bleeding, and no pain or swelling 24 hours later. If I could rate them more than 5 stars I certainly would. Dr. Kuhns called me about 7pm that evening to make sure I was ok.

- Susan S

5 out of 5 stars on

Patient Review By Chip E

I am a veteran with special needs due to PTSD. The entire staff and Doctors could not be more accommodating to help me through the process. I definitely will return and not hesitate to recommend to family and friends.

- Chip E

5 out of 5 stars on

Patient Review By John G

#15 extraction over a month ago. ABSOLUTELY NO PROBLEMS. You should trust Dr, Brown completely. When he sez a little pressure now, he means pressure, not pain. His manner is so friendly, assuring, & comforting that I wish we could go out and have a beer or 2. P.S. Stock up on soft foods before you go.

- John G

5 out of 5 stars on

Patient Review By David M

Do yourself a favor and go to Dr Browns office.

- David M

5 out of 5 stars on

Patient Review By Leslie R

Everyone explained the work being performed

- Leslie R

5 out of 5 stars on

Patient Review By George R

I had three teeth extracted yesterday including one wisdom tooth. The service was outstanding . Today I have no swelling,bruising,or pain. I am very satisfied with the results. Dr Engebretsen even called last night to check on me. I highly recommend.

- George R

5 out of 5 stars on

Patient Review By Paula C

I cant say enough about the care I received from Dr Engebretsen and his wonderful staff. They made you feel that they were taking such great care of you. I had 4 implant surgeries. I would not think of going anywhere else.

- Paula C

5 out of 5 stars on

Patient Review By Jenni H

We were very happy to have a trusted friend in the field refer us to Dr. Brown for my daughters oral surgery. Darlene at the front desk was very helpful and informative and answered all my many questions about the procedure and related costs. Dr.Brown was friendly and knowledgeable and answered all of our questions and concerns and put myself and daughter at ease for her first surgery experience. Also want to say Joey the surgical nurse was awsome and according to my daughter her new friend. She also wants to thank the other girl but she can't remember her name. Thank you all again for a great experience.

- Jenni H

5 out of 5 stars on

Patient Review By Paul R

I had have three dental implants done by Dr Brown. I wouldn’t go anywhere else. I’m completely satisfied and would highly recommended he and his staff to my family and friends.

- Paul R

5 out of 5 stars on

Patient Review By Marlie M

We had the best care. Staff went above and beyond. Thank you all

- Marlie M

5 out of 5 stars on

Patient Review By Leeanne C

Fantastic

- Leeanne C

5 out of 5 stars on

Patient Review By Briann L

Dr Brown and staff are all very nice and extremely helpful! Highly recommend!!

- Briann L

5 out of 5 stars on

Patient Review By Liam K

Overall as good an experience as can be expected from wisdom teeth extraction.

- Liam K

5 out of 5 stars on