Pre-prosthetic surgery is a type of oral and maxillofacial surgery that helps restore the face’s function and form. This surgery focuses on surgically modifying the alveolar process and surrounding structures, enabling accurate dental prosthesis fitting.
Dental prosthesis refers to any artificial replacement for all or part of a tooth/teeth, which are intraorally held in place by suction and connecting them to your teeth or dental implants.
Bone Reshaping and Smoothing: An uneven alveolar ridge can result in a loose denture, sore spots due to uneven pressure from your prosthetic, or ragged bone. Ragged bone is often congenital but may also result from tooth removal, which leaves behind jagged bone around the extraction site.
Dr. Yanich can carefully reshape the area by trimming away excess tissue during an alveoloplasty –– a procedure simultaneously performed with tooth extraction.
Ridge Augmentation: During ridge augmentation, Dr. Yanich will place a bone graft to fill the areas of your alveolar ridge that have shrunk.
Extractions: Impacted or severely misaligned teeth may prevent a denture from fitting correctly. As a result, Dr. Yanich might need to remove one or more of your teeth before providing you with the restoration.
Removing Excess Bone: Exostoses are bones on the outer edge of the alveolar ridge, where it meets the lips or cheeks. Tori can be found either on the lower alveolar ridge (the part that you bite with) or the roof of your mouth, and they may touch your tongue.
If any of these growth types interfere with an upper denture or cause speech problems, it will likely need to be removed, regardless of location.
Removing Excess Gum Tissue: When there’s too much or uneven soft tissue, it results in loose dentures. The good news is that gum surgery tends to be quicker and less invasive than bone treatments.
Vestibuloplasty: If your alveolar ridge is inadequate, your doctor may recommend vestibuloplasty –– a procedure that involves rebuilding the area by lowering the muscles attached to different parts of your jaw.
Before getting dental implants or dentures, patients often need pre-prosthetic surgery to improve the jaw, teeth, and oral tissues for stability, functionality, and comfort. For some patients, surgical preparation is unnecessary for teeth replacement procedures. These replacements are just as stable and secure as ones that require surgery to install. However, suppose you have dental abnormalities, oral surgery may be the only option.
During your initial consultation, Dr. Yanich will examine your mouth and face. He’ll also take some 3D images. From this information, we’ll be able to tell the shape and size of your jaw bone and gum line. With that knowledge, we develop a personalized treatment and surgerical plan just for you!
Before Dr. Yanich places removable dentures, he’ll usually prepare the mouth for surgery –– the types of pre-prosthetic surgeries mentioned above. The approach selected depends on various factors, such as the your current oral health and facial structure.
Dr. Yanich offers multiple anesthesias and sedation options so patients feel more comfortable during their procedure, including local anesthesia and IV sedation.
Once Dr. Yanich is finished shaping the bone during surgery, you’ll need time to fully heal before returning for your final set of new dentures. The time it takes to recover from pre-prosthetic surgery will depend on the procedure.
If Dr. Yanich made incisions, use gentle brushing and flossing techniques near the surgical site. Take note that swelling and inflammation are normal post-treatment side effects. Prescribed anti-inflammatories can help shorten recovery time, but over-the-counter medications can also effectively manage pain and discomfort.
Depending on the type of surgery, you may be able to go back to work the next day but do so with caution. Get plenty of rest, listen to your body’s needs for recuperation time, and don’t hesitate to take additional days off from work if needed for a full recovery.
Pre-prosthetic surgery is often necessary if you want properly fitted dental implants or dentures. At Yanich Oral Surgery, Dr. Yanich and his team have the experience and skills to perform various pre-prosthetic surgeries to prepare the mouth for replacement teeth. We also work with each patient to develop a personalized treatment plan that meets their unique needs.
Call our office today to learn more about pre-prosthetic surgery or to request an appointment!