Dental Implant-related Injuries to the IAN

This session covers injuries to branches of the trigeminal nerve secondary to implant placement. As implant placement has significantly increased as the preferred method of replacing missing teeth, complications from this procedure also are on the rise. Injuries to the inferior alveolar nerve are either due to compression, causing a neurapraxia, or more serious injury, lacerating or transecting the neurovascular bundle. These injuries are managed differently. This presentation discusses the types of nerve injuries that can occur during implant placement. Methods of avoiding nerve injuries also are also presented as well as strategies to work up and manage a known nerve injury. Case presentations of nerve repairs are also presented.

Learning Objectives

At the conclusion of this program, participants should be able to:

  1. Describe the preoperative findings that predict implant-related nerve injuries. 
  2. Identify the appropriate procedures to manage implants that are compressing the IAN canal. 
  3. Discuss how to manage a suspected nerve injury secondary to implant placement. 
  4. Review the indications for apical surgery vs. recommending extraction. 

Mark J. Steinberg, DDS, MD, FACS
Maywood, Ill.
Relevant Conflict of Interest Disclosure: No Relevant Conflict of Interest Disclosures were reported.

Shahrokh C. Bagheri, DMD, MD, FACS
Marietta, Ga.
Relevant Conflict of Interest Disclosure: Southern Implants Speaker's Bureau

An Internet-based CME Activity
Original Release Date: October 12, 2018
Review Date: May 05, 2021
Expiration Date: May 5, 2024
Estimated time to complete this educational activity: 0.75 hours
Method of participation: Self-Study

Mark J. Steinberg, DDS, MD, FACS

Professor, Loyola University School of Medicine

Dr. Steinberg is a well known Oral & Maxillofacial surgeon practicing in the Chicago-land area for the past 30 years. He is Board Certified by the American Board of Oral & Maxillofacial Surgery. Dr. Steinberg completed his undergraduate studies at the State University of New York at Buffalo earning a BA degree.  He then received his DDS degree from Northwestern University School of Dentistry, and later earned an MD degree from Hahnemann University School of Medicine in Philadelphia.  He is a fellow of many professional societies and associations including the American Association of Oral & Maxillofacial Surgeons and The American College of Surgeons. Dr. Steinberg has written many articles and text book chapters in the Oral & Maxillofacial Surgery literature. He has lectured both nationally and internationally on topics in Oral & Maxillofacial Surgery. Prior to entering private practice in 2007 Dr. Steinberg was a full professor of surgery at the Loyola Stritch School of Medicine. He was also the chief of the division of Oral & Maxillofacial Surgery and the program director of the Oral & Maxillofacial Surgery residency program at Loyola University Medical Center. During his notable academic career, Dr. Steinberg also taught residents and practiced Oral & Maxillofacial Surgery in other medical centers including Michael Reese Hospital, Cook County Hospital and Northwestern University Dental School. Presently, he maintains an academic appointment as a clinical professor of surgery and teaches at Loyola University Medical Center. He also continues to practice full scope oral and maxillofacial surgery at offices in Northbrook and Lake Forest, Illinois.

Shahrokh C. Bagheri, DMD, MD, FACS

Director of Fellowship in Cosmetic and Reconstructive OMFS, Georgia Oral & Facial Reconstructive Surgery

Dr. Bagheri is a dual doctor graduate of Harvard University (DMD, cum laude, class marshal) and Emory University (MD). He is an internationally recognized surgeon and leader in the field of Oral and Maxillofacial Surgery (OMFS). His current and past positions include Division Chief of Northside Hospital in Atlanta, University faculty appointments, Editorial Board member of the Journal of Oral and Maxillofacial Surgery and Consultant to American Dental Association Council on Scientific Affairs.

Dr Bagheri is an author and educator with over 100 publications including 7 textbooks, over 50 book chapters and 50 peer reviewed citations.  His most recognized textbook Clinical Review or Oral and Maxillofacial Surgery is used world wide by surgeons for Board Certification in OMFS. He has been featured on TV and Radio, with dozens of lectureships and seminars. A large portion of his patients are referred by other specialist including other surgeons as well as dental and medical practitioners. He practices and serves the metropolitan Atlanta area, although frequently treating patients from across the United States and overseas.

Continuing Education Provider Approval
The American Association of Oral and Maxillofacial Surgeons is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.

ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

The American Association of Oral and Maxillofacial Surgeons designates this activity for 0.75 continuing education credit(s).

AGD - Accepted Program Provider
FAGD/MAGD Credit
11/1/22-12/31/26
Provider ID# 214680

The American Association of Oral and Maxillofacial Surgeons (AAOMS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Association of Oral and Maxillofacial Surgeons designates this internet-based enduring material for a maximum of 0.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Key:

Complete
Failed
Available
Locked
Faculty and Planner Disclosure
Pre-Quiz
3 Questions  |  1 attempt  |  0/3 points to pass
3 Questions  |  1 attempt  |  0/3 points to pass
Dental Implant-related Injuries to the IAN
Open to view video.
Open to view video.
Post-Quiz
3 Questions  |  Unlimited attempts  |  2/3 points to pass
3 Questions  |  Unlimited attempts  |  2/3 points to pass
Evaluation
11 Questions
Certificate
0.75 CDE/CME credits  |  Certificate available
0.75 CDE/CME credits  |  Certificate available