PRE-PROSTHETIC SURGERY

• Pre-prosthetic surgeries defined as a surgical intervention that is mainly done to increase the ridge height, provide space for the denture to seat properly, to augment bone and substitutes in the deficient area to give the end result comfortable and best for the patients which aid in mastication. Some of the techniques are alveoloplasty, ridge augmentation, vestibuloplasty etc.

• It’s a surgical chair side procedure that is done under local anaesthesia where, as per the need gums/bone is exposed to augment/ reduce the size, shape and structure to provide a better seat for removable as well as fixed prosthesis for a better chewing. It’s a technique sensitive procedure done by a specialist oral and maxillofacial surgeon and requires expert skills fine hands and a good team.

• The goal of pre-prosthetic  surgery  is  to  modify  the  oral environment  to  render it  free  of disease  and  to make its form and function more compatible with the  requirements of  complete denture  wearing. The overall procedure for pre-prosthetic surgery differ from patient to patient and is solely based on overall evaluation of the patient and the final outcome may depend upon the accurate diagnosis treatment plans and evaluation of patient in discussion with the oral surgeon.

Several of  the  abnormal conditions existing in  the  edentulous  patient  can  be  corrected surgically, prior to construction of dentures, to enable the  patient  to  function  more  successfully following  prosthetic  restoration. Correction of soft  tissue  abnormalities  can  substantially improve  the  patient’s  ability  to  function  with dentures  and  solve  many  of  the  adjustment problems which confront the prosthodontist. It is often better to correct the soft tissue abnormality rather than to circumvent the problem with an inferior prosthetic restoration.