Implants · single question

What is the recommended minimum safety distance between a dental implant apex and the inferior alveolar nerve (IAN)?

  1. 3 mm
  2. 2 mm
  3. 1 mm
  4. 5 mm
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Correct answer: B. 2 mm

The classically recommended minimum safety distance between the apex of a dental implant and the mandibular canal (containing the inferior alveolar nerve) is 2 mm. This standard was established by Misch and Crawford and has been widely accepted in implant dentistry literature. Maintaining this 2 mm safety zone, when measured on panoramic radiographs, has been shown to result in 0% incidence of neurosensory alterations. With cone-beam computed tomography (CBCT), some authors suggest 1 mm may be sufficient due to more accurate three-dimensional measurement, but the 2 mm recommendation remains the standard teaching for examination purposes.

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