Dos Santos, Pâmela LetíciaGaujac, Cristiano [UNESP]Shinohara, Elio Hitoshi [UNESP]Filho, Osvaldo Magro [UNESP]Garcia-Junior, Idelmo Rangel [UNESP]2014-05-272014-05-272013-05-01Journal of Craniofacial Surgery, v. 24, n. 3, 2013.1049-22751536-3732http://hdl.handle.net/11449/75254PURPOSE: The present case describes an inferior alveolar nerve lateralization for implant placement that caused mandible fracture a few days after surgery. CLINICAL REPORT: 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. CONCLUSION: 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. Copyright © 2013 by Mutaz B. Habal, MD.engAlveolar inferior nerveDental implantsLateralizationMandibular fractureArtigo10.1097/SCS.0b013e318286992eWOS:000330078200011Acesso restrito2-s2.0-84880130701