Name of the Procedure:

Common Name(s): Alveoplasty
Technical/Medical Term: Alveoloplasty not in conjunction with extractions – one to three teeth or tooth spaces (D7321)

Summary

Alveoloplasty is a dental procedure aimed at reshaping and smoothing the jawbone around one to three teeth or tooth spaces to facilitate the fitting and wearing of dentures.

Purpose

Medical Conditions/Problems Addressed:
This procedure is typically required when the jawbone has irregularities or deformities that could interfere with the proper fitting of dentures.

Goals/Expected Outcomes:
The primary goal is to create a smooth and contoured jawbone that offers a better base for dentures, improving comfort and function for the patient.

Indications

Specific Symptoms/Conditions:

• Jagged or irregular jawbone after tooth extractions
• Bony projections or undercuts that impede denture fitting
• Discomfort or inability to wear dentures due to bone irregularities

Patient Criteria or Factors:

• Good overall health
• No active oral infections
• Adequate bone health

Preparation

Pre-Procedure Instructions:

• Follow dietary restrictions, like fasting, if specified by the healthcare provider
• Adjust any medications as advised, particularly anticoagulants
• Obtain necessary diagnostic X-rays or imaging studies

Procedure Description

Step-by-Step Explanation:

1. The area is numbed using local anesthesia.
2. An incision is made in the gum to expose the jawbone.
3. The surgeon reshapes and smooths the bone using specialized instruments.
4. The gum tissue is repositioned and sutured back in place.

Tools, Equipment, Technology Used:

• Dental drill or bone file
• Scalpel
• Sutures

Anesthesia or Sedation Details:
Typically local anesthesia is used. Sedation options may be available depending on patient anxiety or complexity of the case.

Duration

Typical Time Frame:
The procedure usually takes about 30 to 60 minutes, depending on the complexity and number of teeth involved.

Setting

Location:
Alveoloplasty is generally performed in a dental clinic or an outpatient surgical center.

Personnel

Healthcare Professionals Involved:

• Oral surgeon or dentist
• Dental assistant
• Anesthesiologist or nurse (if sedation is used)

Risks and Complications

Common Risks:

• Swelling and bruising
• Bleeding
• Infection at the surgical site

Rare Risks:

• Nerve damage
• Prolonged numbness
• Bone infection or necrosis

Management of Complications:

• Antibiotics for infection
• Pain management medications
• Follow-up procedures if necessary

Benefits

Expected Benefits:

• Improved denture fit and comfort
• Enhanced ability to speak and eat
• Better oral health and hygiene

Realization Timeline:
Benefits are generally realized within a few weeks post-procedure, after initial swelling and healing subside.

Recovery

Post-Procedure Care and Instructions:

• Use ice packs to reduce swelling
• Maintain a soft diet for several days
• Avoid strenuous activity
• Take prescribed pain medications and antibiotics as directed

Expected Recovery Time:
Most patients can expect a recovery period of about 2 weeks.

Restrictions/Follow-Up Appointments:
Follow-up appointments to monitor healing and suture removal (if non-resorbable sutures are used) are typically scheduled within a week or two post-procedure.

Alternatives

Other Treatment Options:

• Soft liners for dentures
• Bone grafting if significant bone loss is present

Pros and Cons Compared to Alveoloplasty:

• Soft liners provide temporary relief and may not address underlying bone issues.
• Bone grafting is more invasive and may have a longer recovery period but can provide significant long-term benefits.

Patient Experience

During the Procedure:
Patients will usually feel pressure and vibration but should not experience pain due to local anesthesia.

After the Procedure:
Discomfort, swelling, and minor bleeding are common initially. Pain can be managed through prescribed medications and over-the-counter pain relievers. Eating soft foods and adhering to post-operative instructions will aid in a smoother recovery.