title: Incomplete mandibular fracture after lateralization of the inferior alveolar nerve for implant placement.
abstract: OBJECTIVE
  The present case describes an inferior alveolar nerve lateralization for implant placement that caused mandible fracture a few days after surgery.
  
  
  METHODS
  In this case, a 56-year-old female patient who had a severely atrophied jaw and showing bone height less than 7 mm from the bone crest and the mandibular canal was submitted to surgery lateralization of the inferior alveolar conducted with piezzo. Even with all postoperative care, the patient suffered an incomplete fracture of the mandible a few days after lateralization of the inferior alveolar nerve for implant placement. The patient was treated with soft diet and medications for pain and antibiotics, besides removing the implant associated with the fracture.
  
  
  CONCLUSIONS
  It is suggested that this procedure may be conducted in 2 operative periods: firstly, the lateralization of the inferior alveolar; and secondly, after a period of 3 months, the implant placement in a situation of more bone stability.
authors.affiliation: Department of Surgery-Universidade do Sagrado Coração (USC), Bauru, Brazil. pamelalsantos@hotmail.com
authors.forename: Pâmela Letícia
authors.initials: PL
authors.lastname: dos Santos
authors.forename: Cristiano
authors.initials: C
authors.lastname: Gaujac
authors.forename: Elio Hitoshi
authors.initials: EH
authors.lastname: Shinohara
authors.forename: Osvaldo Magro
authors.initials: OM
authors.lastname: Filho
authors.forename: Idelmo Rangel
authors.initials: IR
authors.lastname: Garcia-Junior
mesh_terms: D001284:Atrophy; D015921:Dental Implants; D020878:Device Removal; D005260:Female; D017102:Fracture Healing / Q000502:physiology; D006801:Humans; D008334:Mandible / Q000473:pathology / Q000601:surgery*; D008337:Mandibular Fractures / Q000209:etiology*; D008340:Mandibular Nerve / Q000601:surgery*; D008875:Middle Aged; D013516:Oral Surgical Procedures, Preprosthetic / Q000009:adverse effects; D010027:Osteotomy / Q000009:adverse effects; D059745:Piezosurgery / Q000009:adverse effects; D011183:Postoperative Complications
chemical_list: D015921:Dental Implants