Dr. Guy McLellan
Reconstruction of the severely resorbed posterior mandible; inferior alveolar nerve repositioning
The severely resorbed posterior mandible presents one of the most difficult challenges for implant rehabilitation. Several techniques have been advocated including short implants, onlay grafting, distraction osteogenesis and inferior alveolar nerve repositioning. The rational and indications for each of these techniques is reviewed. Inferior alveolar nerve repositioning was first described for pre prosthetic surgery in ’77. Repositioning allows for the placement of longer implants employing both the alveolar bone and basal cortex.
The use of piezosurgery allows for a selective cut of mineralised tissue limiting damage to soft tissue and infrior alveolar bundle. Technique of surgery is reviewed and clinical examples discussed.
He continues to work as a member of the Cranio Facial team at Chelsea and Westminster Hospital receiving referrals for complex Oral/facial reconstruction using osseo-integrated prostheses. In private practice he limits his practice to surgical implantology and augmentation procedures including intra-oral and extra-oral grafting. He is a mentor for ADI and Nobel Biocare and is actively involved in Implant education. He is a member of the Association of Dental Implantology, the European Association of Osseointegration and a Fellow of the International Congress of Oral Implantologists.
Qualifications: BDS(Lond)FDS RCS(Eng)MBBS(Lond)