Preprosthetic surgeries

Ideal ridge (Goodsell) No

undercuts
Adequate or
Adequate
bony overhangin
soft tissue
support g
protuberan
ces
Adequate
No sharp No scar
buccal and
ridges bands
lingual sulci
No soft
Satisfactor
No muscle tissue
y
fibers or folds,
relationship
frenums to redundanci
of the
mobilize es, or
alveolar
prosthesis hypertrophi
ridges
es
Hard Tissue Lesions or
Abnormalities
• The abnormalities associated with hard tissues are classified into two
categories:

Those that may be smoothed with alveoloplasty immediately after

extraction of the teeth (sharp spicules, bone edges),or those detected
and recontoured in an edentulous alveolar ridge.

Congenital abnormalities, such as torus palatinus, torus mandibularis,

multiple exostoses.
Alveoloplasty

• Alveoloplasty is the surgical procedure performed to smooth or

recontour the alveolar bone, aiming to facilitate the healing
procedure as well as the successful placement of a future prosthetic
restoration.
Alveoloplasty After Extraction of
Single Tooth.
Alveoloplasty After Extraction of Two
or Three
Teeth.
Alveoloplasty After Multiple
Extractions.
Recontouring of Edentulous Alveolar
Ridge
• Dean’s Interseptal Alveoloplasty: overjet, only maxillary anteriors, cut
interseptal bone from canine to canine, vertical cut distal to canine,
fracture the labial plate towards palate.
• Obwegeser’s modification of Dean’s alveoloplasty technique: fracture
palatal plate also, severe overjet.
Recontouring of Edentulous Alveolar
Ridge
Socket preservation
Torus Palatinus
Torus mandibularis
Maxillary tuberosity reduction
• Irregularities
• Interarch space creation
• Crestal incision
• Contouring
• Overlapping soft tissue removal
Mylohyoid ridge reduction
• Dislodges denture
• Causes pain if sharp
• Linear incision
• Mucoperiosteal flap
• Muscle detached
• Ridge reduced
Genial tubercle reduction
• Itself acts as a shelf
• Prefer augmentation of
anterior mandible
• Crestal incision- premolar
region to midline
• Mucoperiosteal flap
• Genioglossus detached
• Tubercle smoothened