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Nerve Repositioning

For some patients, the position of a nerve in the lower jaw can make dental implant placement more challenging.

Nerve Repositioning in Chicago, IL

Nerve repositioning offers a way to safely create space for implants while protecting important structures, allowing patients to move forward with treatment that may have previously seemed out of reach.

At Oral and Facial Surgery of the NorthShore, Dr. Stephen Martin approaches nerve repositioning with careful planning, advanced techniques, and a strong focus on patient comfort. Every step is explained clearly so patients feel informed, supported, and comfortable throughout the process.

To learn more about nerve repositioning in Chicago, IL, and Skokie, IL, patients are invited to call (224) 623-0709 or complete our online consultation form. Dr. Martin and our team look forward to scheduling an appointment. 

What Is Nerve Repositioning?

Nerve repositioning is a specialized oral surgery where the inferior alveolar nerve in the lower jaw is carefully moved to make room for dental implants. This nerve runs through the center of the lower jaw and gives feeling to the lower lip, chin, and the area around them.

In some patients, the nerve sits very close to the surface of the jawbone, leaving limited room for implant placement. Rather than placing implants in a compromised position, nerve repositioning allows Dr. Martin to gently move the nerve aside, place the implants securely, and then allow the nerve to rest back into a protected position.

This procedure is typically recommended when patients want dental implants but have been told there is not enough bone remaining to place an implant without damaging this nerve. It can be part of a broader treatment plan that may also include bone grafting or other dental implant services.

How Does Nerve Repositioning Work?

Nerve repositioning is a carefully controlled procedure that requires precision and thoughtful planning.

Dr. Martin begins by using advanced imaging to fully map out the nerve’s location, the surrounding bone, and the ideal implant positions. During the procedure, a small opening is made in the jawbone to gently access the nerve.

The nerve is carefully moved aside to allow for implant placement in the proper position. Once the implants are placed, the nerve is guided back into a protected position within the jaw.

This process allows implants to be placed where they will function best long-term, rather than compromising their placement due to anatomical limitations.

What Are the Benefits of Nerve Repositioning?

Nerve repositioning can open the door to treatment options that may not otherwise be possible:

  • It makes dental implant placement possible by creating the needed space for properly positioned implants.
  • It leads to better long-term results with stronger, more secure implants.
  • It helps avoid placing implants too shallow or at awkward angles.
  • It opens up more treatment options, especially when there is not enough bone height.
  • It supports jawbone health by allowing implants that help maintain and stimulate the bone.
  • It boosts confidence by giving patients a more complete and stable smile.
  • It offers a clear, predictable path forward with careful planning that feels reassuring.

Who Is a Candidate for Nerve Repositioning in Skokie, IL?

Many patients are unsure whether nerve repositioning is necessary, and that’s completely understandable. This is determined through imaging and a thorough evaluation.

Patients may be good candidates if they:

  • Have been told there is not enough bone height for implants
  • Have a nerve positioned close to the surface of the jaw
  • Are seeking dental implants in the lower back jaw
  • Want a stable, long-term tooth replacement solution
  • Are in good overall health


At Oral and Facial Surgery of the NorthShore, each patient is carefully evaluated. Dr. Martin explains what he sees, what it means, and whether nerve repositioning is the most appropriate approach.

Schedule a Consultation

From wisdom teeth to complex facial procedures, Dr. Stephen Martin delivers precise, compassionate surgical care designed to restore comfort, function, and confidence. We invite you to schedule your consultation by calling (224) 623-0709 or completing our convenient consultation form.

Where Is Nerve Repositioning Used?

Nerve repositioning is used specifically in the lower jaw (mandible), where the inferior alveolar nerve runs through the bone.

It may be recommended for:

  • Dental implant placement in the back of the lower jaw
  • Cases with limited vertical bone height above the nerve
  • Patients previously told implants were not possible
  • Situations where optimal implant positioning is important for function
  • Complex implant cases requiring advanced planning

Since this procedure involves important anatomical structures, it is performed with detailed planning and a high level of precision.

Nerve Repositioning Process at Oral and Facial Surgery of the NorthShore in Chicago, IL

For many patients, hearing that a nerve is involved in treatment can feel intimidating. Dr. Martin understands this, which is why the entire process is designed to feel clear, supportive, and well guided from beginning to end.

The Nerve Repositioning Consultation

During each consultation, Dr. Martin uses advanced imaging to carefully evaluate the exact position of the nerve and determine how much bone is available. He takes ample time to explain everything and may use images or models so patients can clearly see what’s happening and why the procedure might be the right option.

Patients are encouraged to ask as many questions as they want and take their time so they feel completely comfortable with the plan before moving forward.

Preparing for the Nerve Repositioning Procedure

Once a plan is in place, patients receive clear instructions on how to prepare. Sedation options are discussed in detail, and the team walks through what the day of surgery will look like so patients feel ready and supported.

The Nerve Repositioning Procedure

On the day of the procedure, patients will be welcomed into a calm and supportive setting. Once the anesthesia or sedation takes effect, Dr. Martin makes a small opening in the jaw to carefully access the nerve.

He gently moves the nerve to one side to create room for implant placement. Once the implants are placed in the optimal position, he carefully guides the nerve back to a protected location. He then closes the area and protects it to support proper healing.

Throughout the procedure, Dr. Martin’s focus is on precision, safety, and patient comfort.

Nerve Repositioning Recovery and Healing

After the procedure, patients receive clear instructions on how to care for the area while it heals. Follow-up visits are scheduled to monitor progress and ensure everything is healing as expected.

Before & Afters

Sedation Options for Nerve Repositioning

At Oral and Facial Surgery of the NorthShore, creating a calm and supportive environment is an important part of every procedure. Nerve repositioning can feel like a significant step, and it is completely natural for patients to feel some anxiety beforehand.

Dr. Martin offers several safe and effective sedation options to help patients feel relaxed in a way that feels right for them. Each option is selected with comfort in mind, and time is taken during the consultation to explain what to expect and determine which level of sedation will feel most reassuring.

Local Anesthesia

Local anesthesia numbs the treatment area so that patients remain comfortable throughout the procedure. Patients stay fully awake but typically feel only light pressure rather than discomfort. This option works well for those who feel at ease in a dental setting.

Nitrous Oxide (Laughing Gas)

Nitrous oxide is a gentle, inhaled sedation that helps patients feel calm within minutes. It creates a relaxed, comfortable sensation while allowing patients to remain awake and responsive. Because it wears off quickly, many patients appreciate its convenience.

Oral Sedation

Oral sedation involves taking medication before the procedure to promote a deeper sense of relaxation. Patients remain awake but feel less aware of the procedure. Since the effects last several hours, transportation arrangements are needed.

IV Sedation

For patients who prefer a deeper level of relaxation, IV sedation provides a calm, dream-like state. Dr. Martin carefully monitors comfort and safety throughout the procedure. Many patients remember very little afterward, which can be especially reassuring for more involved procedures like nerve repositioning.

Recovery After Nerve Repositioning

Recovery after nerve repositioning is typically manageable with the right guidance and support.

In the first few days, mild swelling, tenderness, or soreness in the jaw is normal and gradually improves. Some temporary changes in sensation, such as numbness or tingling, may occur as the nerve heals. Dr. Martin discusses this in detail beforehand so that patients know what to expect.

Patients are usually advised to:

  • Rest for the first day or two
  • Follow a soft-food diet while healing begins
  • Maintain gentle oral hygiene
  • Avoid pressure on the surgical area
  • Attend follow-up appointments


Most patients return to normal daily activities within a few days, while full healing continues over time. Dr. Martin and his team remain available throughout recovery to provide reassurance and guidance.

How Much Is Nerve Repositioning in Chicago, IL?

The cost of nerve repositioning can vary depending on the complexity of the case, the number of implants being placed, and whether additional procedures such as bone grafting are needed.

During the consultation, patients receive a personalized treatment plan outlining recommendations and associated costs. The goal is to provide clarity so patients can make informed decisions with confidence.

Why Choose Oral and Facial Surgery of the NorthShore for Nerve Repositioning?

At Oral and Facial Surgery of the NorthShore, Dr. Stephen Martin has built an environment where comfort and compassion are just as essential as clinical skill. Patients aren’t simply treated, they’re cared for in a way that makes the entire experience feel more personal.

We believe patients remember how they felt during their care just as much as the results achieved. For this reason, Dr. Martin’s approach is rooted in communication, patience, and respect. Time is taken to explain what’s happening, answer questions, and ensure patients feel comfortable every step of the way.

Patients also benefit from Dr. Martin’s extensive training and commitment to advanced techniques and modern technology. He is a board-certified oral and maxillofacial surgeon who completed his education at Furman University and the Medical University of South Carolina, followed by a rigorous residency at John H. Stroger Jr. Hospital of Cook County and Rush University Medical Center, where he served as Chief Resident.

Most importantly, the entire team shares the same philosophy: patients should feel safe, heard, and genuinely cared for throughout their experience. This combination of expertise and thoughtful care is what helps patients feel confident moving forward.

Schedule a Nerve Repositioning Consultation in Chicago, IL

To learn more about nerve repositioning at Oral and Facial Surgery of the NorthShore, patients are invited to call (224) 623-0709 or complete the online consultation form. The team is available to answer questions, explain options, and guide the next steps with clarity and care.

Nerve Repositioning Skokie, IL – FAQs

Yes. When performed by a trained oral and maxillofacial surgeon, nerve repositioning is a carefully planned and controlled procedure. Dr. Martin uses advanced imaging and precise techniques to protect the nerve while creating the space needed for implant placement.

Some patients may experience temporary numbness, tingling, or altered sensation as the nerve heals. In most cases, this improves over time. Dr. Martin discusses this in detail during consultation so that patients understand what to expect.

No. It is only recommended when the nerve is positioned too close to the surface of the jaw and limits safe implant placement. Many patients can receive implants without this step.

Comfort is carefully managed with anesthesia and sedation options. Patients typically feel pressure rather than discomfort during the procedure, with mild soreness afterward that improves over the first few days.

Initial recovery usually takes a few days, with most patients returning to normal routines shortly after. Full healing, including nerve recovery, may take longer and is monitored closely through follow-up visits.

Yes, in many cases the procedure is performed at the same time as implant placement. This allows treatment to be completed efficiently while maintaining proper positioning and stability.

Without enough space above the nerve, implants may not be placed safely or in the correct position. Nerve repositioning helps create the conditions needed for long-term implant success.

It is considered an advanced procedure but is well-established in oral and maxillofacial surgery. It is typically recommended in specific cases where anatomy requires a more specialized approach.