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18 May 2026 : Clinical Research  

Five-Year Survival Outcomes of Angulated Dental Implants Placed Tangentially to the Inferior Alveolar Nerve in the Posterior Mandible

Fariz Selimli ORCID logo ABDG 1, Elif Figen Koçak ORCID logo BEF 2, Revnak Akburak ORCID logo BCDE 3, Osman Fatih Arpag ORCID logo CDEF 4,5*

DOI: 10.12659/MSM.952874

Med Sci Monit 2026; 32:e952874

Figure 2 (A, B) Cross-sectional cone beam computed tomography image illustrating the planned implant placement tangential to the inferior alveolar nerve. The red line represents the vertical distance from the alveolar crest to the inferior alveolar nerve, measuring between 3 and 5 mm. The orange line indicates the planned implant angulation and length, corresponding to a minimum implant length of 11 mm. The dotted yellow line demonstrates the axial position of the implant referenced to a radiographic marker. The area labeled “n” denotes the inferior alveolar nerve. The angle labeled “d” represents the angulation between the planned implant position and the axial plane; when this angle was ≤15°, the implant insertion angulation was set at 15°, whereas angles ≥16° were planned with a 25° implant insertion angulation. The label “m” indicates a radiopaque marker used as a reference to facilitate accurate measurements and to determine the ideal implant positioning. The area labeled as ‘sz’ represents the safety zone, defined as the minimum safe distance between the implant body and the alveolar nerve.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750