What is Alveoloplasty procedure?

Alveolplasty| Alveoloplasty: reshaping the alveolar ridge

What is Alveoloplasty procedure?
Alveoplasty (alveoloplasty) is a surgical procedure for irregular jaw bone before denture making. In Alveoplasty the alveolar ridge is made smooth and reshaped for well fitting denture

Alveoloplasty, or bone grafting, is a surgical operation, as a result of which the alveolar process is corrected and an optimal contour of the bone tissue is created.

The loss of the alveolar ridge can occur as a result of a long absence of load and subsequent atrophy, as well as with trauma or osteomyelitis of the jaw.

what is Alveolar ridge

Many patients are lost when they first hear about the alveolar ridge, since they have a poor idea of this part of the oral cavity. Physiologically, this is a site of bone that forms the bed of the tooth and the bony edge of the socket. Alvolar ridge is made of a porous spongy bone structure. Inside pores of alveolar ridge blood vessels and nerves pass. Alveolplasty is often required when it comes to implantation and prosthetics(dentures).

Indications for alveoloplasty

size of surgery for alveoplasty is determined by the size of the ridge, the height of the bony edge of the hole. This indicator can be influenced by factors of heredity, the age of the patient, the presence of dental anomalies and defects. To determine the need for Alveoplasty, the dentist conducts a visual examination of the oral cavity, examines the X-ray data.

Alveolar ridge got its shape disturbed by:
mechanical damage or injury;
osteomyelitis (purulent inflammation);
removal of tumors and neoplasms.

Alveoplasty is also recommended for natural atrophy of the alveolar ridge of varying severity, when bone loss caused the lack of proper load due to the extracted tooth, deterioration of blood circulation in the tissues, pressure of adjacent teeth, etc.

Diseases (abnormalities) of the alveolar ridge

Correction of the alveolar ridge is performed in the presence of certain diseases in the patient's history. They can be:

Abnormal development of the bony outgrowth, when its shape is distorted or the size is unacceptable. This requires surgical correction through Alveoplasty.

Atrophy of the ridge as a result of osteoporosis, osteomyelitis, prolonged absence of a tooth in the socket. Performed bone grafting of the alveolar bone , makes up for the bone deficit site of the upcoming prosthesis or implant a titanium screw.

Fractures of the ridge. Correction is carried out using different methods. With a bumpy, uneven, narrow alvolar process, the surgeon places the implanted biological material over the surface of the bone and under the base of the subosseous surface. In this regard, the dissection of the mucous membrane and periosteum is performed, as well as the subsequent laying of the material inside after the preparation of the bone. Then the edges of the periosteum are sealed with sutures.

What is an Alveoloplasty in conjunction with extraction?

Alveoloplasty in conjunction with extraction is performed after decision for future denture construction and implant placement has been taken by the dentist and patient. During the removal of remaining hopeless teeth and tooth roots, simultaneously with this operation, alveoplasty can be carried out, where the surgeon removes the overhanging contours of the gums, excessive thin ridges, bony outgrowth, bumps, and bony spicules.

Does Alveoplasty hurt?

Alveoplasty is performed using modern local anesthetics that reliably block pain and the patient feels no hurt during the procedure. Alveoplasty is not a major surgery and in very rare cases general anesthesia is needed. Pain after alveoplasty can be effectively controlled with any pain killer medicines. patient following post-operative instructions never feels hurt after alveoplasty procedure.

Alveoplasty methods

There are different forms of the Alveoplasty. Among them:
alveoplasty inside the bone.
alveeolar ridge augmentation.
vertical osteotomy.

The method of alveoplasty is chosen by the operating surgeon, depending on the clinical picture with which the patient addressed.

The part of the jawbone that houses the teeth is called the alveolus, and "plasty" means molding, so alveoloplasty is the process of molding or reshaping the jaw.

An alveoloplasty is performed to create a smooth shelf of bone. For the patient to receive an immediate, provisional fixed restoration in the form of a hybrid

Alveolar ridge augmentation

With this technology, the surgeon increases the height of the process of the lower jaw. Plastic is used with a bone block based on an artificial bone. The technology is used for bone resorption due to long-term absence of load on the jaw. The doctor provides access to the bone hole, cleans it, and places the prepared material inside. Then he sutures the wound for the fastest osseointegration of the block in the surrounding tissues.

How long does it take to heal from Alveoplasty?

Complete recovery after alvoplasty and healing of alveolar ridges to bear the load of the denture can take from three to six months. it can take several visits to the dentist to check the healing process and whether the alveolar ridges are able to withstand the forces of the prosthesis. in the lower jaw, the alveolar ridge is made of solid bone which shows quick healing and recovery after alveoplasty and prosthesis fabrication can be started even after three months. The upper jaw ridge can take longer After the alveeoplasty surgery is carried out, the dentist-surgeon tells what kind of oral care is necessary to shorten the recovery period. In the first week after alveoplasty surgery, some time a periodontal bandage is applied to the patient, which is later replaced with a special mouth guard. After six months, implants can be installed.

It is not recommended to install a bulky and heavy orthopedic structure of a removable type after alveoplasty surgery. Such a prosthesis can negatively affect the results of the operation

What can I eat after Alveoloplasty?

After alveoplasty, the primary goal is healing as easily and quickly as possible. What you eat after having your alveoplasty is key to maximize your recovery. You should limit the amount you irritate the sites that are healing and avoid straining your jaw muscles by trying to eat food that is too difficult to chew.

Dentists recommend not to eat anything for at least 2 to 3 hours after alveoplasty procedure. Once home, be prepared to eat soft foods for a few days and stay away from anything overly hot, spicy, and citrusy. Do not eat any crunchy foods as they can reopen the surgical stitches or remove the periodontal bandage. Try to keep the area as clean as possible after eating by frequently cleaning with saltwater or antiseptic mouthwash.

Can you smoke after Alveoloplasty?

If you continue smoking immediately after alveoplasty, you run the risk of impaired wound healing. In general, you should not smoke for at least 2 weeks after the operation. In alveoplasty, the resulting wound is quite large. Most teeth are extracted or even milled from the healthy bone.

What remains is a large, deep hole. The wound takes some time to heal completely. The smoke dries out your mouth. The nicotine reduces blood flow. This can lead to inflammation in the dry tooth cavity.

Is Alveoloplasty necessary for dentures?

Alveolar ridges bear all the forces of the chewing muscles during denture use. Alveoplasty is necessary for irregular bony alveolar ridges to make them smooth and reshape to increase comfort and fitting of the prosthesis and eliminate any painful sensations during denture use. The need is determined by the dentist after a visual examination of the mouth and x-rays of the patient. A denture made without proper consultation of a dentist and ignoring the need for alveoplasty can finally end up in failure.


References

Den Tim


Practicing Dentistry for 20 years