Anterior Mandible Implants and Incisive Nerve
Thank you in advance for helping me with this anterior mandible implant placement case. Please review the images provided of the mandible. Upon evaluation of the mental nerve, specifically how it continues anteriorly and turns into incisive nerve as well as the location of the planned implant sites, one can observe that the mandibular incisive nerve/branch will in fact will be damaged by placement of the implants. I was wondering if someone could tell me if my patient is in danger of having implants placed in area 28 or give me some insights on what to expect besides what could occur with perforation of the lingual plate. I once read that neuropathic pain may occur after implant placement in the interforaminal region due to the perforation of the incisive canal and nerve. I was wondering if someone who performs All-on-4 or someone who has expertise could help me with this case as this is my first case of placing implants in the anterior mandible. I am planning to use a tooth supported surgical guide made by Anatomage. This case will involve placement two implants one in area 28 and the other in area 26. Then sometime after that patient will undergo implant placement in area #21 and 23 for all on 4 supported prosthesis. Implant will be utilized in area 28 would be 4.3x 11.5 Nobel CC replaced tapered and in area 26 would be 3.5x11.5.