Alveoloplasty to Gain Prosthetic Space

Alveoloplasty to Gain Prosthetic Space

Sep 22, 2015 — by Michael Tischler
Tags: Dental Implants Restorative Dentistry

Illustration of a prosthetic bridgeIn providing implant-supported bridges of any type to patients, including state-of-the-art Prettau® Bridges, the success of the procedure rises and falls on the time and thought invested into the planning phase. The implant dentist must plan meticulously, measuring five times before even thinking about cutting once, as it were. Ultimately, even the most advanced implant systems and restorations are only as good as the dentist planning their placement.

One of the concerns facing any implant dentist is the amount of alveoloplasty that must be performed in order to gain prosthetic space, if any. This is, of course, something of a balancing act. Great care must be taken to remove the proper amount of bone to accommodate the prosthetic without compromising the strength of the bite or masticatory function - or, ironically enough, structural support for the prosthetic.

Using the CBCT Scan to Prepare for Alveoloplasty

One of the great advantages of using cone beam computed tomography (CBCT) as part of pre-surgical treatment planning is that it allows for the gathering of information necessary to determining the proper amount of alveoloplasty needed to gain prosthetic space. If excess bone tissue does not allow for adequate prosthetic space and material thickness, alveoloplasty can be performed to reshape the bone and create additional space. The CBCT scan can ensure that this reshaping is done with absolute precision so that sufficient bone remains to support the implant posts and the attached prosthetic.

The CBCT scan also allows for the identification of any bony projections that must be smoothed before the bridge can be secured to the implants.

Successful pre-prosthetic surgery can make all the difference between an ideal-fitting prosthetic and one that does not quite fit or function properly in the patient’s mouth.

Secondary Alveoloplasty

In many cases, you will be performing alveoloplasty to gain prosthetic space in addition to alveoloplasty that has already been performed at the time that teeth were extracted prior to the fitting of conventional removable dentures. Because you will be essentially building on the foundation of another dentist’s work, you will have less control over the preservation of alveolar bone, which means that you will have to use a particularly gentle touch and conservative approach to removing bone. Of course, a conservative approach is recommended under any circumstance, but is especially necessary when alveoloplasty has already been performed.

Tischler Dental Labs provides support and case guidance to our clients. Once a CT plan has been completed, Dr. Michael Tischler would be pleased to review and discuss it with you, including whether alveoloplasty to gain prosthetic space is necessary and to what extent.

Learn More about Alveoloplasty to Gain Prosthetic Space

Tischler Labs is the leading Prettau® Bridge Lab in the nation and is able to provide expert guidance throughout the vital planning stage of implant surgery. For further information about alveoloplasty to gain prosthetic space, or to learn more about how you can benefit from working with our Prettau® Bridge experts, please contact Tischler Labs today.

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