Nerve Repositioning

The inferior alveolar nerve, which gives feeling to the lower lip and chin, may need to be moved to make room for 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).

Typically, we remove an outer section of the cheek on the side of the lower jaw bone 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.

★ ★ ★ ★ ★ Patients Just Like you

I highly recommend Riverside Oral Surgery, and specially Dr. Richer. I had two wisdom teeth extracted last Saturday, it went smoothly with no complications and I finished within 15 mins. The Staff are very nice and friendly too.

★ ★ ★ ★ ★ Patients Just Like you

Riverside is the 92’ dream team of Oral Surgeons. They are surely a very uniquely talented group of professionals. I was held hostage by two hideously impacted wisdom teeth. Dr. Richer and company took excellent care of me two separate procedures. I have referred friends and family here and will continue to do so. I wouldn’t even consider going elsewhere.

★ ★ ★ ★ ★ Patients Just Like you

Came here for wisdom teeth removal with sedation and all the staff (reception and medical team) were super nice and answered all questions/concerns I had! They were quick to get back to me when I had questions about aftercare/ the procedure itself.


Depending upon the individual’s condition, these procedures may be performed separately or together. 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 used to get the patient’s 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, and limited physical activity for one week.

Are you ready to book your appointment?

Request an appointment online or call an office near you! Our friendly and caring staff can assist you with any questions.

OFFICELOCATIONS