lec 7 - preprosthetic surgery

Question 1

What are the 2 indications of simple alveoloplasty?

Answer 1

1. Multiple teeth extraction
2. Prosthetic preparation

Question 2

Refers to the surgical reshaping or smoothing of the bony structures in the jaw, specifically the alveolar ridges. This is performed at the SAME TIME as extraction of multiple teeth.

Answer 2

Recontouring of Residual Ridges / Simple Alveoloplasty

Question 3

This is a specific surgical technique used to reshape and reduce the height of alveolar ridges by removing interdental bone (septum) while preserving the external cortical plates. This is done to reduce undercuts or excessive bony prominences, removing bone from within the ridge and maintaining soft tissue support.

Answer 3

Intraseptal alveoloplasty

Question 4

Common indications of intraseptal alveoloplasty (4)

Answer 4

1. Ridge undercuts
2. Soft tissue preservation
3. Shallow vestibule
4. Minimal bony resorption

Question 5

This is a conservative surgical approach that reshapes alveolar ridge while preserving the external contour. It is ideal for managing bony undercuts and improving soft tissue contours without significantly reducing ridge height.

Answer 5

Intraseptal alveoloplasty

Question 6

This is a surgical procedure that involves the removal or reshaping of excess bone and sometimes soft tissue from the maxillary tuberosity. This is performed when the enlarged tuberosity interferes with prosthodontic rehabilitation.

Answer 6

Maxillary tuberosity reduction (hard tissue)

Question 7

Indications for maxillary tuberosity reduction (4)?

Answer 7

• Prosthetic interference
• Limited interarch space
• Bony prominence/irregularity
• Implant placement preparation

Question 8

Possible complications for maxillary tuberosity reduction

Answer 8

• Sinus perforation
• Excessive bleeding
• Infection

Question 9

Refers to bony growths on the outer (buccal) side of the upper and lower jaw that can interfere with placement of dentures.

Answer 9

Buccal exostosis

Question 10

Surgical correction of buccal exostosis where excess bone is surgically removed to smooth the ridge.

Answer 10

Exostectomy

Question 11

These are bony outgrowths along the sides of the palate (roof of the mouth). They can hinder the placement of upper dentures and may cause discomfort.

Answer 11

Lateral palatal exostosis

Question 12

This is a bony ridge located on the inner aspect of the mandible (lower jaw). This ridge can be excessively pronounced leading to discomfort when wearing lower dentures.

Answer 12

Mylohyoid ridge (reduction)

Question 13

A common preprosthetic surgical procedure to remove bony growths that can interfere with placement of denture.

Answer 13

Tori removal

Question 14

Bony growths that develop along the midline of the hard palate.

Answer 14

Torus palatinus

Question 15

Bony growths that form along the inside of the lower jaw, typically near the premolars and above the mylohyoid ridge. They are often bilateral and benign.

Answer 15

Torus mandibularis

Question 16

Also known as Epulis fissuratum or Denture fibrosis

Answer 16

Inflammatory fibrous hyperplasia

Question 17

This is a benign overgrowth of fibrous tissue in response to chronic irritation, most commonly caused by ill-fitting dentures.

Answer 17

Inflammatory fibrous hyperplasia

Question 18

This procedure removes or modifies the small fold of tissue that connects the inside of the upper and lower lip to the gums.

Answer 18

Labial frenectomy

Question 19

Indications for labial frenectomy (4)

Answer 19

• Diastema
• Denture fit issues
• Speech and feeding problems (in children)
• Gum recession

Question 20

This procedure releases or removes the small fold of tissue that connects the underside of the tongue to the floor of the mouth to improve tongue mobility.

Answer 20

Lingual frenectomy

Question 21

A condition wherein the lingual frenum is too short or right, causing breastfeeding problems, speech difficulty, oral hygiene issues, and restricted tongue movement.

Answer 21

Ankyloglossia / tongue-tie

Question 22

Also known as socket preservation

Answer 22

Alveolar ridge preservation

Question 23

A procedure performed after tooth extraction to minimize bone loss and preserve the natural shape and height of the alveolar ridge.

Answer 23

Alveolar ridge preservation (ARP) / Socket preservation

Question 24

Bone from the patient’s own body

Answer 24

Autograft

Question 25

Bone from donor

Answer 25

Allograft

Question 26

Bone from another species such as bovine

Answer 26

Xenograft

Question 27

This applies a uniform pressure over the graft to enhance contact between the graft and the recipient base.

Answer 27

Bolster stitches

Question 28

Refer to surgical procedures involved in placing a type of removable prosthetic denture that is supported by natural teeth or dental implants.

Answer 28

Overdenture surgery

Question 29

These overdentures are supported by remaining natural teeth that have been modified to allow for better fit and function.

Answer 29

Tooth-supported overdenture

Question 30

These overdentures rely on dental implants embedded in the jawbone.

Answer 30

Implant-supported overdenture