The aim of this study is to evaluate the effect of sticky bone on acceleration of recovery of the neurosensory dysfunction of the inferior alveolar nerve following inferior alveolar nerve lateralization surgery for implant placement in patients with posterior vertical bone deficiency in order to overcome the main disadvantage of this technique \& provide a reliable,saving time - computer guided simultaneous implant placement- and improved technique.
Adult patients requiring oral rehabilitation with dental implants in vertically atrophied
Posterior mandibular region, less than 8mm of bone above the mandibular canal.
Patients should be free from any systemic conditions that may affect normal healing.
Absence of any pathological conditions involving mandibular bones.
Patients under bisphosphonates treatment.
Any contraindication for general anaesthesia.
Osteoporotic patients.
Patients with neurological disorders (neuralgias, Parkinson' s disease).
Parallel
Patients receiving computer-guided immediate implant placement and inferior alveolar nerve (IAN) lateralization only.
Procedure/SurgeryStandard procedure without Sticky Bone application.
IAN lateralization with computer-guided immediate implant placement using Sticky Bone
Procedure/SurgeryThe same as the control with additional application of Sticky Bone as an insulator for enhanced neurosensory disfunction
Clinical neurosensory assessment of inferior alveolar nerve.
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