ALVEOLOPLASTY IN CONJUNCTION WITH EXTRACTIONS - ONE TO THREE TEETH OR TOOTH SPACES (D7311)

Name of the Procedure:

• Common Name(s): Alveoloplasty with extractions
• Medical Term: Alveoloplasty in conjunction with extractions

Summary

Alveoloplasty in conjunction with extractions is a dental surgical procedure that involves reshaping and smoothing the alveolar ridge of the jawbone after the extraction of one to three teeth. This helps prepare the jawbone for future dental prosthetics such as dentures or implants.

Purpose

• Medical Conditions or Problems: This procedure is typically performed to address irregularities or sharp edges in the jawbone that can cause discomfort or complications when fitting dentures or implants.
• Goals/Expected Outcomes: To create a smooth and even surface on the alveolar ridge to enhance the fit and comfort of dental prosthetics and to promote better healing after extractions.

Indications

• Symptoms/Conditions: Presence of bony projections, undercuts, or uneven alveolar ridges after the extraction of teeth.
• Patient Criteria: Patients who are planning to receive dentures or dental implants and require a smooth alveolar ridge for optimal fit and comfort.

Preparation

• Pre-Procedure Instructions: Patients may be advised to fast for a few hours if sedation or general anesthesia is planned. Instructions on adjusting medications, such as blood thinners, may also be provided.
• Diagnostic Tests/Assessments: Dental X-rays or panoramic imaging to assess the structure of the jawbone and plan the procedure.

Procedure Description

1. Anesthesia: Local anesthesia is administered to numb the area. Sedation or general anesthesia may be used depending on the case.
2. Tooth Extraction: If not already extracted, the designated teeth are removed.
3. Alveoloplasty: The surgeon uses dental instruments such as bone files, rongeurs, or surgical burs to reshape and smooth the alveolar ridge.
4. Suturing: The gum tissue is repositioned and sutured to promote healing.

Duration

The procedure typically takes around 45 minutes to 1 hour, depending on the complexity and number of teeth involved.

Setting

• Location: The procedure is commonly performed in a dental office, outpatient clinic, or surgical center.

Personnel

• Healthcare Professionals: The team may include a dentist or oral surgeon, a dental assistant, and an anesthesiologist or nurse anesthetist if sedation is used.

Risks and Complications

• Common Risks: Swelling, bleeding, bruising, and pain.
• Rare Risks: Infection, nerve damage, delayed healing, and adverse reactions to anesthesia.
• Complication Management: Prescribed antibiotics, pain medications, and follow-up appointments to monitor healing.

Benefits

• Expected Benefits: Smoother alveolar ridge for better-fitting dental prosthetics, reduced discomfort from sharp bone edges, and improved healing.
• Benefit Realization: Benefits are typically realized shortly after healing, within a few weeks post-procedure.

Recovery

• Post-Procedure Care: Patients are advised to follow specific care instructions such as soft food diets, avoiding smoking, and maintaining oral hygiene.
• Recovery Time: Expected recovery time is about 1-2 weeks. Follow-up appointments may be scheduled to monitor healing.

Alternatives

• Other Treatments: Extraction without alveoloplasty, using dental prosthetics designed to accommodate irregular jawbones, or alternative surgical techniques.
• Pros and Cons:
  • Pros of Alveoloplasty: Improved fit and comfort of dental prosthetics.
  • Cons of Alternatives: Potential discomfort and complications from irregular bone surfaces.

Patient Experience

• During the Procedure: Patients will experience numbness from local anesthesia and possibly sedation. Tingling or pressure sensations might be felt but no pain.
• After the Procedure: Post-procedure, patients may experience moderate pain, swelling, and bruising. Pain can be managed with prescribed medications and following post-operative care instructions.