Medical Procedure Information: Alveoloplasty in Conjunction with Extractions - Four or More Teeth or Tooth Spaces (D7310)

Name of the Procedure:

Common Name(s): Alveoloplasty with Extractions
Medical Term: Alveoloplasty in Conjunction with Extractions - Four or More Teeth or Tooth Spaces (D7310)

Summary

Alveoloplasty in conjunction with extractions involves smoothing and reshaping the jawbone where one or more teeth have been removed. This procedure helps to ensure a better fit for dentures or to prepare for other dental prosthetics.

Purpose

Alveoloplasty is performed to:

• Remove irregularities and sharp edges in the jawbone.
• Prepare the mouth for dentures or other dental prosthetics.

• Aid in the healing process following multiple teeth extractions.

  The goal is to create a smooth and contoured ridge that facilitates optimal prosthetic placement and patient comfort.

Indications

• Multiple teeth extractions, particularly four or more in a single area.
• Preparation for denture placement or other dental prosthetics.
• Patients with irregular jawbone that might complicate prosthetic fittings or heal improperly.

Preparation

• Patients may need to fast for a certain period before the procedure (typically 6-12 hours).
• Adjustments to medications may be required; consult with your healthcare provider.
• Pre-procedure diagnostic imaging such as X-rays or CT scans to assess bone structure.

Procedure Description

1. Anesthesia: Local anesthesia is administered to numb the area, though sedation or general anesthesia may be used if necessary.
2. Extractions: The dentist or oral surgeon removes the designated teeth.
3. Alveoloplasty: The surgeon reshapes the jawbone, removing any sharp edges or irregularities using specialized tools.
4. Closure: Sutures may be placed if necessary to promote healing.

Tools/Equipment: Dental forceps for extractions, bone files, and surgical burs for reshaping the bone.

Duration

The procedure typically takes between 1 to 2 hours, depending on the number of teeth being extracted and the extent of bone reshaping required.

Setting

The procedure is usually performed in a dental office, outpatient surgical center, or hospital.

Personnel

• Oral Surgeon or Dentist
• Dental Assistant
• Anesthesiologist (if sedation or general anesthesia is used)
• Nursing staff (in a surgical center or hospital)

Risks and Complications

• Common Risks: Pain, swelling, bleeding, infection.
• Rare Risks: Nerve damage, delayed healing, reaction to anesthesia.
• Management: Pain medication, antibiotics, follow-up visits to monitor healing.

Benefits

• Smoother jawbone for better prosthetic fit.
• Enhanced healing post-extraction.
• Improved comfort and functionality with dental prosthetics.

Recovery

• Mild swelling and discomfort are expected for a few days.
• Pain management may include prescribed painkillers or over-the-counter medications.
• Soft diet and careful oral hygiene practices are recommended.
• Follow-up appointments to monitor healing and remove sutures if applicable.
• Recovery typically takes about 1-2 weeks, with full healing in several months.

Alternatives

• Simple Extraction without Alveoloplasty: May lead to uneven bone that complicates prosthetic placement.
• Ridge Augmentation: Additional surgical option to build up the bone where needed, which is more invasive and costly.

Patient Experience

Patients may feel pressure and movement during the procedure but usually no pain if properly anesthetized. Post-procedure experiences include:

• Swelling and discomfort manageable with medication.
• Follow-up care to ensure proper healing and integration of prosthetics.
• Instructions on dietary limitations, oral hygiene, and activity restrictions to facilitate smooth recovery.