Alliance Oral Surgery
Barnegat
609-978-6400
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      • Fractures of the Facial and Jaw Bones
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    • Orthognathics and Reconstructive Surgery
      • Orthognathic Surgery (Jaw Surgery)
      • Distraction Osteogenesis
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Procedures & Services

  • Congenital and Developmental Disorders
    • Special Needs Patients
  • Anesthesia and Sedation
    • Anesthesia for Pediatric and Dental Procedures
    • Anesthesia for Cosmetic and Surgical Procedures
  • Cosmetic Skin and Facial Procedures
    • Perlane
    • Botox
    • Ultherapy
    • Juvederm
    • Restylane
    • Latisse
    • Radiesse
    • Esthetician and Skin Care Treatment
    • Dermabrasion
    • Chemical Peels
    • Facial Resurfacing
  • Dental Implants
    • Teeth-in-an-Hour
    • Diem
    • Immdediate Placment of Implants
    • Single Tooth Implants
    • Implant Supported Bridges
    • Locator Attachment and Dentures
    • Orthodontic Implants-Skeletal Anchors
  • Bone Grafting
    • Jaw Bone Health
    • Jawbone Loss and Deterioration
    • About Bone Grafting
    • Ridge Augmentation
    • Sinus Lift
    • Nerve Repositioning
    • Platelet Rich Plasma
    • Socket Preservation
  • Teeth and Dentoalveolar Surgery
    • Wisdom Teeth
    • Pre-Prosthetic Surgery
    • Impacted Canines
    • Primary or Baby Teeth
    • Infected or Fractured Teeth
    • Teeth with Periodontal Disease
    • Teeth with Associated Pathology
  • Trauma and Fractures
    • Fractures of the Facial and Jaw Bones
    • Lacerations and Soft Tissue Injuries
    • Injury to the Teeth
  • Orthognathics and Reconstructive Surgery
    • Orthognathic Surgery (Jaw Surgery)
    • Distraction Osteogenesis
  • Oral Pathology
    • Oral Pathology-Growth and Lesions
    • Dermatopathology and Skin Diseases
    • Autoimmune Diseases
    • Precancerous and Cancerous Growths
  • Temporomandibular Joint Disease
    • Myofascial Pain Dysfunction
    • Craniofacial Pain
    • Migraine’s and Headaches
    • Neuralgia’s and Neurological Origin Pain

Nerve Re-positioning

The inferior alveolar nerve which gives feeling to the lower lip and chin may need to be moved in order to make room for placement of dental implants to the lower jaw. This procedure is limited to the lower jaw and indicated when teeth are missing in the area of the two back molars and/or and second premolar, with the above-mentioned secondary condition. Since this procedure is considered a very aggressive approach (there is almost always some postoperative numbness of the lower lip and jaw area, which dissipates only very slowly, if ever). Usually other, less aggressive options are considered first (placement of blade implants, etc.).

Typically we remove an outer section of the cheek side of the lower jawbone in order to expose the nerve and vessel canal. Then we isolate the nerve and vessel bundle in that area, and slightly pull it out to the side. At the same time we place the implants, we’ll be 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.

These procedures may be performed separately or together depending upon the individual’s condition. 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 addition, 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 own 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.

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Red Bank; Tinton Falls; Middletown; Rumson; Shrewsbury; Holmdel; Fair Haven: Little Silver; Hazlet; Long Branch; Manahawkin; Barnegat; Forked River; Toms River; Bayhead; Lakewood; Seaside
NJ

Barnegat Office • Address: 329 South Main Street Barnegat NJ 08005 • Phone: Barnegat Office Phone Number 609-978-6400 • Fax: 866-290-6363
Middletown Office • Address: 79 Oak Hill Road Middletown NJ 07701 • Phone: Middletown Office Phone Number 732-842-3100 • Fax: 866-290-6363

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