Different types of Alveoloplasty Procedures
Cortical Alveoloplasty
Single Tooth Extraction
This is recommended if certain alveolar bone’s prominent areas exist that will be of no interest in future construction of denture.
Procedure is as follows:
* After giving anesthesia, there is an incision made along alveolar ridge’s crest and is extended across the site of extraction.
* There is a removal of the soft tissue from the socket’s distal and mesial sides.
* The projected bone is slowly removed using the surgical blur or ronguer. Further smoothening is done with the help of a bone file.
* There must not be any undercuts.
* The additional bony fragments are also removed as the surgical site is thoroughly irrigated.
* 3-0 silk interrupted suture is used for approximating the wound margins.
* There is a removal of all the excessive fibrous areas. It is customary for the soft tissues to get adjusted to the alveolar process.
Extraction of Multiple Adjacent Teeth
This process is recommended for the extraction of the multiple adjacent teeth in just one sitting.
Procedure is as follows:
* An incision is made on the crest of alveolar ridge. For getting an adequate access, the incision made is either relaxing incision or envelope flap.
* Teeth are removed under direct vision. Surgical blur or rongeur is used for removing the sharp edges. Care must be taken to avoid any undercuts.
* Bone file is used for smoothening the area.
* 3-0 interruped or continuous silk sutures are used for closing the wound and for attaining a gingiva that is well adapted and attached.
