Minor Pre-prosthetic surgery Flashcards
________ is the surgical improvement of the denture bearing area and
surrounding tissues (Hard and Soft) to support the best possible prosthetic
replacement.
Pre-prosthetic Surgery
The goal of ______ is to establish a functional biologic platform for
supportive or retentive mechanisms that will maintain or support prosthetic
rehabilitation.
pre-prosthetic surgery
______ following extraction
is the primary cause for this resorption.
Lack of functional stress from teeth and periodontal ligament
DO the muscle attachments resorb like the bone?
No
________ is “ the recontouring or reduction of a portion of the alveolar
process”
Goals:
- Eliminate bony projections that result in undercuts
- Improve the path of insertion of the prosthesis
- Eliminate bony sources of irritation
Alveoloplasty
•Periosteal attachment is maintained
•Alveolar height is preserved
•Alveolar width is lost
INtraseptal alveloplasty
Disadvantages of _______
1. Accelerates bone loss
- Buccal/labial cortical alveoloplasty (most long term loss)
- Intraseptal alveolectomy (significantly less)
- Increased post-operative pain
- Potential Complications:
- Oral-antral communication(Maxilla)
Alveoloplasty
• Determine if it is excess bone /excess soft tissue or combination of two.
• Examine pre-op x-ray (Panoramic X-Ray necessary)
• Locate floor of the sinus
• Reasons for removal
– Increase intra-arch space
Maxillary Tuberosity (Osseous) Reduction
What is the most tedious portion of tori removal procedure?
raising the thin flap
• Etiology: This is an inflammatory fibrous hyperplasia of oral mucosa caused by an over-extended
denture border.
• Treatment: Surgical excision of the lesion and reduction of the denture border
Epulis fissuratum