The inferior alveolar nerve supply sensation to the lower lip, chin, etc. In case of severely atrophic mandible the nerve need to be reposition to make space for implant placement. But sometimes, there can be postoperative numbness in the lower lip and chin region. So, to help patient decide, the dental professional can give a block before the procedure with a longer acting local anesthetic like Marcaine (8-16 hrs), similar to the postoperative anesthesia the patient may experience. Before the procedure the Inferior Alveolar Nerve (IAN) need to be assess radiographically to locate the mental foramen. There are 2 nerve repositioning techniques: lateralization and transposition. For both the procedures a crestal incision with releasing incisions are made and the flap is reflected labially. Care to be taken during raising of the flap to preserve the periosteum and neurovascular bundle. Inferior Alveolar Nerve transposition (IANT) A complete osteotomy is done and a ...