Beruflich Dokumente
Kultur Dokumente
1
Ideal vs atrophic
Ideal Denture Support: mandible
Broad Alveolar ridge
mucosa
Deep Lack of FOM or vestibular depth
Adequate FOM Vestibular depth
Mylohyoid mm
mandible
Patient Evaluation
• Evaluate maxilla and mandible for:
– Alveolar undercuts
– Palatal tori
– Mandibular exostosis
– Ridge relationship
– Ridge contour : broad vs. knife edge
– Ridge height and width
2
Evaluate for Exostoses
Alveolar Undercut
Maxillary Tori
Lingual fremum
3
Class III
skeletal
relationship
Could be
secondary to over
closure of
mandible
(loss of VDO)
Surgical Preparation of Mouth for Prostheses Surgical Preparation of Mouth for Prostheses
Osseous surgery
•Alignment of jaws (Orthognathic Surgery) •Minor alveoloplasty (sharp areas)
•Adequate interarch distance
•Eliminate opposing undercuts
•Eliminate tori
•Removal of teeth (and roots)
•Radical •Patients are often old, infirm, and require workup and
•Horizontal or vertical problems monitoring
•Pre-radiation
•Restorative phase in 4 – 8 weeks postop
•Preserve Attached Gingiva!
4
Simple Alveoloplasty Simple Alveoloplasty
Indications
•Chronic irritation
•Inability to construct prosthesis
•Periosteal attachment is
•Opposing undercuts
maintained
•Horizontal & vertical problems
•Alveolar height is preserved
5
Removal of Lingual Tori Removal of Palatal Tori
Lingual
6
Soft Tissue Surgery
•Release of Freni
Frenectomy
Frenectomy
Z-plasty:
7
Palatal papillary hyperplasia
8
Palatal papillary hyperplasia Epulis Fissuratum
Treatment Options
9
Class III
skeletal
relationship
Needs
orthognathic
surgery to
correct skeletal
discrepancy
Complex preprosthetic
surgery
10
Vestibuloplasty
Preprosthetic Surgery
11
Preprosthetic Surgery Mucosal Grafts
12