Alveoloplasty compaction
and

HTR Grafting for ridge preservation

Loss of teeth in either jaw will usually result in loss of function and aesthetics for the patient as well as loss of soft and hard supporting tissues for a removable tissue supported prosthesis.  The bone loss is not limited to alveolar bone, portions of the basal bone may also develop loss.  This continuing atrophy of bone after tooth removal is associated with treatment complications of instability and looseness of the maxillary complete denture.  In the past teeth have been routinely removed with little consideration for bone grafting and ridge preservation and long term support of the maxillary complete denture prosthesis.  The development of alloplastic materials and the placement of these into extraction sockets, aids in bone preservation, slowing bone loss, and maintaining positive bone support for the denture prosthesis.  HTR is one of these materials and combined with alveoloplasty compation to plastically correct undercuts, contour bony projections, or exostoses and is conservative essential treatment for successful denture path insertion and support.

Treatment Goal: Long term bone preservation and ideal ridge form for the Maxillary Complete Denture's support.

Treatment: The number of patients receiving Maxillary Immediate & Complete Dentures is increasing.  The general population is aging and living longer, and as longevity increases bone support under the prosthesis decreases unless bone grafting and ridge preservation have been completed.

CASE 1:

Extractions, Alveoloplasty Compaction and HTR Grafting for ridge preservation

Pre-Operative  Photograph

Pre-Operative  Panoramic Radiograph

Simulated Bone Sockets With and Without HTR Grafting and Bone Preservation

Back Loading HTR Syringe with PRP for Rapid Tissue Healing

Intra-Operative Monitor for Simplant or CBCT scan

Osteotome, Mallet and Chisel for Alveoloplasty Compaction

Alveoloplasty Compaction and HTR Grafting for ridge preservation

Alveoloplasty Compaction and HTR Grafting for ridge preservation

Alveoloplasty Compaction and HTR Grafting for ridge preservation

Alveoloplasty Compaction and HTR Grafting for ridge preservation

Alveoloplasty Compaction and HTR Grafting for ridge preservation

Alveoloplasty Compaction and HTR Grafting for ridge preservation

Alveoloplasty Compaction and HTR Grafting for ridge preservation

Alveoloplasty Compaction and HTR Grafting for ridge preservation

Day of Surgery, Completion of Alveoloplasty Compaction, HTR Grafting with Primary Closure

Intaglio Surface of Maxillary Denture Allows the Plastically Reshaped Bone to Assume
Ideal Ridge Shape and Form

Post-Operative, One Day                                                       Five Days            
                Routinely No Pain or Facial Swelling                        Slight Up Tick in Discomfort with No Facial Swelling
                                                                                                                      or Discoloration, No Denture Adjustment        

Post-Operative, Two Weeks                                                Three Months         
              No Pain and Return of Vestibular Height or Slightly Increased          

Post-Operative, One Day Radiograph

Completed Treatment and Restored Comfort Function and Aesthetics

10801 W. 87th Street - Ste. 100 - Overland Park - KS - 66214

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