Nerve repositioning is a specialised dental procedure that relocates the inferior alveolar nerve to allow for dental implant placement in the lower jaw. At London Dental Specialists, we understand that considering this procedure raises many questions. Patients often wonder about the recovery process, potential risks, and how nerve healing progresses after surgery. Nerve repositioning is typically recommended when bone height is insufficient for standard implant placement. The procedure involves carefully moving the nerve bundle temporarily to create space for implants, then returning it to a protected position. While complex, this technique can help avoid more extensive bone grafting procedures. Our specialists are committed to providing clear information about this advanced treatment option to help you make informed decisions about your dental health.
What is nerve repositioning?
Nerve repositioning is a specialized oral surgical procedure that involves carefully moving the inferior alveolar nerve—the nerve that provides sensation to your lower lip, chin, and teeth—to allow for dental implant placement in the posterior lower jaw. At London Dental Specialists, our oral surgeons perform this advanced technique in cases where severe bone loss in the lower jaw would otherwise prevent implant placement. The procedure creates space for dental implants while preserving nerve function, providing a solution for patients with significant mandibular atrophy who wish to avoid extensive bone grafting or removable dentures.
Is nerve repositioning painful?
Nerve repositioning at London Dental Specialists is performed under appropriate sedation and local anaesthesia to ensure you feel no pain during the procedure. Following surgery, patients typically experience moderate discomfort and facial swelling for several days, which gradually subsides. Some temporary numbness or altered sensation in the lower lip, chin, and gums is expected as the nerve heals from being repositioned. Our specialists prescribe appropriate pain management medications and provide comprehensive aftercare instructions to minimize discomfort during recovery. Regular follow-up appointments allow us to monitor your healing and nerve function closely.
How much does nerve repositioning cost in London?
The cost of nerve repositioning at London Dental Specialists typically ranges from £3,000 to £5,000, not including the subsequent dental implant placement. This specialized procedure requires significant surgical expertise and is usually performed as part of a comprehensive treatment plan for complex cases. Factors affecting the cost include the extent of nerve repositioning required, whether unilateral or bilateral treatment is needed, and your specific anatomical challenges. During your consultation, we provide a detailed treatment plan with transparent pricing. Given the complexity of this procedure, we recommend discussing financing options with our treatment coordinators.
How long does the nerve repositioning procedure take?
At London Dental Specialists, a typical nerve repositioning procedure takes approximately 1.5 to 3 hours to complete. The exact duration depends on whether one or both sides of the jaw require treatment, the complexity of your specific anatomy, and the extent of bone deficiency in your lower jaw. This meticulous procedure requires precise surgical technique to safely reposition the nerve while preserving its function. Our specialists allocate sufficient time to ensure every step is performed with the utmost care and precision, prioritizing both successful implant placement and preservation of nerve integrity.
What is the recovery time after nerve repositioning?
Recovery after nerve repositioning at London Dental Specialists follows a progressive timeline. The initial healing phase lasts approximately 2-3 weeks, during which you'll experience swelling, bruising, and discomfort that gradually improves. Most patients can return to light activities within 7-10 days, though strenuous exercise should be avoided for at least 3 weeks. Complete healing and nerve adaptation typically takes 3-6 months, during which sensation gradually returns to normal in most cases. Throughout this period, regular follow-up appointments are scheduled to monitor your healing and nerve function. Dental implant placement is usually performed after this recovery period to ensure optimal integration.
Am I a good candidate for nerve repositioning?
You may be a good candidate for nerve repositioning at London Dental Specialists if:
- You have significant bone loss in the posterior lower jaw
- You want fixed dental implants rather than removable dentures
- You wish to avoid extensive bone grafting procedures
- You're in good general health with no conditions that impair healing
- You don't smoke or are willing to quit during the recovery period
- You understand and accept the risks of temporary or permanent altered sensation
- You're committed to the extended treatment timeline
This advanced procedure is reserved for specific clinical situations where other options are less favorable. Our specialists conduct thorough examinations including 3D imaging to determine if nerve repositioning is appropriate for your case.
What are the alternatives to nerve repositioning?
At London Dental Specialists, we consider several alternatives to nerve repositioning depending on your specific clinical situation. These include:
- Short dental implants that can be placed above the nerve without repositioning
- Vertical bone augmentation procedures to build up bone height above the nerve
- All-on-4 or similar concepts that utilize angled implants in available bone
- Removable full or partial dentures that don't require surgical intervention
- Zygomatic implants that anchor in the cheekbone, bypassing the lower jaw entirely
Each alternative has its own benefits and limitations. During your consultation, our specialists discuss all viable options, considering factors such as your oral health, anatomy, functional requirements, and personal preferences to recommend the most suitable approach for your situation.
What are the risks or side effects of nerve repositioning?
Nerve repositioning at London Dental Specialists carries specific risks that should be carefully considered:
- Temporary numbness or altered sensation in the lower lip, chin, and gums (common)
- Permanent paresthesia or dysesthesia in areas supplied by the nerve (uncommon but possible)
- Infection of the surgical site
- Bleeding or hematoma formation
- Facial asymmetry or changes in facial contour
- Mandibular fracture (very rare)
- Implant failure despite successful nerve repositioning
While these risks exist, our highly specialized surgeons use advanced techniques including surgical microscopes and nerve monitoring to minimize complications. We thoroughly discuss all potential risks during your consultation and take every precaution to ensure the safest possible outcome.
How should I care for myself after nerve repositioning surgery?
After nerve repositioning surgery at London Dental Specialists, follow these aftercare instructions:
- Take all prescribed antibiotics and pain medications exactly as directed
- Apply ice packs to the outside of your face for 20 minutes on/off for the first 48 hours
- Maintain a soft or liquid diet for at least 2 weeks, avoiding chewing on the surgical side
- Keep your head elevated, including when sleeping, for the first week
- Avoid disturbing the surgical site—no rinsing, spitting, or touching for the first 24 hours
- After 24 hours, rinse gently with prescribed antiseptic mouthwash or saltwater
- Do not smoke or use tobacco products as these significantly impair healing
- Avoid strenuous physical activity for at least 3 weeks
- Attend all scheduled follow-up appointments for suture removal and healing assessment
- Report any unusual symptoms immediately, including severe pain, excessive bleeding, or fever
Our team provides detailed, personalized instructions and is available 24/7 for emergency concerns during your recovery period.
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