Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 26, 2022; 10(12): 3907-3915
Published online Apr 26, 2022. doi: 10.12998/wjcc.v10.i12.3907
Dynamic navigation system-guided trans-inferior alveolar nerve implant placement in the atrophic posterior mandible: A case report
Liang-Wen Chen, Xiao-E Zhao, Qi Yan, Hai-Bin Xia, Quan Sun
Liang-Wen Chen, Qi Yan, Hai-Bin Xia, Quan Sun, Department of Oral Implantology, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, Hubei Province, China
Xiao-E Zhao, Department of Special Care Clinic, Lanzhou Stomatological Hospital, Lanzhou 730000, Gansu Province, China
Author contributions: Chen LW contributed to treatment planning and manuscript drafting; Zhao XE contributed to treatment plan implementation and photo collection; Yan Q contributed to treatment plan implementation and manuscript revision; Xia HB contributed to treatment plan implementation; and Sun Q contributed to manuscript revision and treatment planning.
Supported by Clinical New Technology and New Business Project (2021), School and Hospital of Stomatology of Wuhan University.
Informed consent statement: The patient has given her written informed consent to publish the case (including publication of images).
Conflict-of-interest statement: The authors declare that they have no competing interests.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Quan Sun, DDS, MD, PhD, Attending Doctor, Department of Oral Implantology, School and Hospital of Stomatology, Wuhan University, No. 237 Luoyu Road, Hongshan District, Wuhan 430079, Hubei Province, China. quan.sun@whu.edu.cn
Received: September 8, 2021
Peer-review started: September 8, 2021
First decision: November 19, 2021
Revised: November 23, 2021
Accepted: March 7, 2022
Article in press: March 7, 2022
Published online: April 26, 2022
Core Tip

Core Tip: In atrophic posterior mandibular areas, where the residual bone height (RBH) superior to the inferior alveolar nerve (IAN) is less than 6 mm, conventional operative treatments are no longer applicable. We present a computer-dynamic navigation system (CADNS) -guided trans-IAN implant placement technique, which successfully treat a posterior mandibular dentition defect when the bone height is only 4.5 mm, resulting with a satisfying implant-restoration. This case demonstrates a novel implantation solution taking advantage of the accuracy and safety of CADNS. CADNS-guided trans-IAN placement could be a recommended technique for patients with an extremely insufficient RBH but sufficient buccal bone width in the posterior mandibular area.