oral surgery and prosthodontics

Question 1

what are excisional procedures of soft tissues? and what do they mean?

Answer 1

Frenectomy (removal of frenum) /frenoplasty (removal part of frenum)
- Labial, buccal or lingual

Papillary hyperplasia (overgrowth of soft tissue in patate surgery in relation to candidal infection)

Flabby ridges (interfere in denture retention)

Denture induced hyperplasia (Epulis fissuratum) - most common

Maxillary tuberosity reduction
Retromolar pad reduction

Question 2

what are excisional procedure for hard tissue?

Answer 2

Removal of retained teeth/roots/pathology
Ridge defect correction (alveoplasty)
Mandibular tori
Maxillary tori
Maxillary tuberosity
Exostoses
Undercuts
Genial tubercle reduction (rare)
Mylohyoid ridge reduction (rare)

Question 3

what are augemntation procedures?

Answer 3

Autografts
e.g. Iliac crest bone, rib
Allografts
Bone from other humans
Xenografts
From animals, e.g. Bio-Oss
Synthetic grafts
e.g. β Tricalcium Phosphate

Question 4

what do you do for retained teeth unerupted?

Answer 4

• crestal incision with mesial reliving incision (2 sided flap)
• flap elevated and tooth exposed
• bone trimmed with rongeurs
• then extracted with forceps

Question 5

what is this and why do you need to be careful?

Answer 5

• apical radicular cyst
• careful because IAN runs through it

Question 6

what incision and flap do you do for a surgical reduction of manibular tori?

Answer 6

crestal incision and 1 sided flap

Question 7

what is this

Answer 7

bony exostosis

Question 8

what is this

Answer 8

flabby ridges

Question 9

what is this

Answer 9

denture induced hyperplasia