It also establishes a jawbone shape that helps to facilitate the healing process that follows.
When performed prior to denture construction, it’s used to optimize the shape of the patient’s jawbone (ridge) to avoid complications with appliance insertion, comfort, stability, and retention. When performed in association with tooth extractions, it also establishes a jawbone shape that helps to facilitate the healing process that follows.
It is commonplace that at the time of initial denture construction, the dentist may identify jawbone irregularities that are likely to interfere with denture insertion, comfort, stability and, retention. If so, plans will need to be made to perform an alveoloplasty. Some of the types of problems that may exist include:
As a patient, you may wonder why the corrections you require weren’t made at the time of the original extractions.
It’s typically considered a “minor” surgical procedure (on the order of having teeth removed).The overall extent and complexity of the process will simply depend on where the needed corrections are made (such as one/both sides, upper and/or lower ridges, hard palate, etc) and the degree of difficulty associated with them.
The same local anaesthetic that is used for the extraction will be used to numb the bone and gums.
Bone trimming is typically accomplished via the use of bone files, rongeurs (dental “pliers” used to snip bone), and dental drills.
Non-resorbing stitches are typically removed after 7 to 10 days.
Gum tissue flaps will be created and opened up, to expose the underlying bone that needs to be trimmed and adjusted.
Once the surgeon is satisfied that they have made the necessary corrections, the surgical site is flushed with water or saline solution and then the reflected flaps are positioned back and secured in place with stitches.
Denture making can resume another week later.
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