Nerve Repositioning in Irvine, CA

Ensuring Safe & Effective Dental Implant Placement in the Lower Jaw

For some patients, placing dental implants in the lower jaw (mandible) can be challenging due to the position of the inferior alveolar nerve (IAN). This nerve runs along the lower jawbone and controls sensation in the chin, lower lip, and teeth. If there isn’t enough bone height above the nerve, placing implants may put pressure on the nerve, leading to pain, numbness, or loss of sensation.

At Honest Oral Surgeon in Irvine, CA, our board-certified oral surgeons, Dr. Eric Kim, and Dr. Blair Ota, specialize in nerve repositioning to create a safe environment for dental implant placement. Using advanced 3D imaging, microsurgical techniques, and precision planning, we can reposition the nerve while preserving sensation and ensuring implant success.

What is Nerve Repositioning?

Nerve repositioning is a delicate surgical procedure used when a patient’s inferior alveolar nerve is located too close to the planned dental implant site. This procedure temporarily moves the nerve out of the way so that implants can be placed safely without damaging nerve function.

When is Nerve Repositioning Needed?

Nerve repositioning is considered when:

The lower jawbone has insufficient height above the inferior alveolar nerve.
A patient has severe bone loss but wants dental implants instead of dentures.
The nerve is positioned in a way that prevents stable implant placement.
A patient is not a candidate for traditional bone grafting procedures to build up the jawbone.

The Nerve Repositioning Procedure: Step-by-Step

Step 1: Consultation & 3D Imaging

We perform a comprehensive exam using 3D imaging to evaluate the position of the nerve and jawbone structure.
A customized surgical plan is created to ensure the safest approach.

Step 2: Nerve Exposure & Repositioning

A small opening is made in the side of the lower jawbone to access the inferior alveolar nerve.
The nerve is carefully moved aside, making space for dental implants.
The implants are placed, and the nerve is gently repositioned in a protected area.

Step 3: Bone Grafting & Healing

The bone graft material is placed around the nerve and implant to protect and stabilize the area.
The site is sutured closed, and the healing process begins.

Step 4: Recovery & Final Implant Placement

Healing takes 3–6 months, allowing the nerve and bone to integrate properly.
Once fully healed, a permanent dental crown or prosthetic is placed on the implants.

Benefits of Nerve Repositioning

Enables dental implant placement when there is limited bone height.
Preserves nerve function while creating space for implants.
Prevents complications like nerve damage, pain, or loss of sensation.
Provides a long-term alternative to dentures for patients with severe bone loss.

Is Nerve Repositioning Safe?

Yes, nerve repositioning is a highly specialized procedure performed by experienced oral surgeons using microsurgical techniques. While every effort is made to preserve nerve function, temporary numbness in the lower lip or chin can sometimes occur during healing. In most cases, the sensation gradually returns as the nerve recovers.

Recovery & Aftercare for Nerve Repositioning

What to Expect After Surgery

Mild swelling and discomfort for the first few days.
Temporary numbness or tingling in the lower lip or chin (which usually improves over time).
A soft food diet is recommended for the first week.
Patients should avoid smoking, drinking through straws, and strenuous activities to aid healing.

Most patients heal within 3–6 months, and once bone integration is complete, the final implant-supported prosthetic can be placed.

Why Choose Honest Oral Surgeon for Nerve Repositioning?

At Honest Oral Surgeon, we provide expert care for complex implant placement procedures, including nerve repositioning. Here’s why patients trust us:

Board-Certified Oral Surgeons – Dr. Eric Kim & Dr. Blair Ota are specialists in complex nerve repositioning and implant surgery.
Advanced 3D Imaging Technology – We use CBCT scans for precise nerve mapping and surgical planning.
Minimally Invasive Techniques – We utilize microsurgical approaches to protect the nerve while optimizing implant placement.
Sedation Options Available – We offer IV sedation for a stress-free, pain-free procedure.

Frequently Asked Questions About Nerve Repositioning

How long does nerve repositioning last?

Nerve repositioning is a permanent solution that allows for successful dental implant placement. Once healed, the implants and surrounding bone remain stable for a lifetime with proper care.

How painful is nerve repositioning?

Patients are kept comfortable with IV sedation or general anesthesia during the procedure. Some mild discomfort and swelling may occur afterward, but pain medication and post-surgical care help manage recovery.

What is the success rate of nerve repositioning?

The success rate of nerve repositioning is very high when performed by experienced oral surgeons. Over 90% of patients successfully receive dental implants without long-term nerve damage.

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Schedule Your Consultation for Nerve Repositioning

If you have been told that you lack bone for implants or have concerns about nerve positioning, our team is here to help.