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  • #12226
    Drsumitra
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    Registered On: 06/10/2011
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    Alveoloplasty refers to the shaping of alveolar process using surgical methods. It is done if a person has bony projections, sharp crestal bones or undercuts.
    Alveoloplasty in Dentistry

    Prior to the construction of any prosthetic appliance, attempts must be made to preserve the maximum possible amount of the alveolar bone. Primarily the alveolar ridge must be re-contoured for providing best tissue for denture support. This is done by maintaining and securing large amounts of the soft tissues and bone.

    The final aim involves the patient’s rehabilitation, while also restoring best masticatory function, and further improving the facial as well as the dental esthetics. Alveoloplasty is referred for both single and the multiple teeth extractions.

    There is a minimal initial procedure for this type of Alveoloplasty that just involves the smoothening of the sharp edges. Rather than opting for a surgical removal, the remaining bone must be permitted to remodel. An extensive Alveoloplasty is recommended in the cases that require an urgent denture construction.

    Prior to performing Alveoloplasty, it is always advisable to evaluate each patient individually for eliminating any future problems emanating at the time of extraction. Local anesthesia can be used for Alveoloplasty.

    #17398
    Drsumitra
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    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.

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