I will be placing two dental implants in the first and second premolar sites in the mandible. The final restoration will be free standing porcelain fused to metal crowns on Atlantis abutments.
This is the first time that I will be placing implants in this area. I am very concerned about the extent and distribution of the mental foramen nerve, especially its anterior loop. According to the literature this may extend as far as 10mm anterior to the mental foramen. I do not have CBCT scans easily available. What do you recommend I do to avoid hitting the mental foramen nerve? How should I lay the flap? Is flapless surgery a possibility?