Reconstructive and Implant Dental Center - Kansas City                                                                                            dental-implants@dr-amet.com          Phone: 913-492-2233          Fax: 913-492-2234                 Office Information Video              

 ADVANCING THE ART AND SCIENCE OF DENTISTRY

                                   

     

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

 

Alveoloplastycompaction and HTR Grafting for Ridge Preservation 1

Pre-Operative  Photograph

 

Alveoloplastycompaction and HTR Grafting for Ridge Preservation 2

Pre-Operative  Panoramic Radiograph

 

Alveoloplastycompaction and HTR Grafting for Ridge Preservation 3Alveoloplastycompaction and HTR Grafting for Ridge Preservation 4

Simulated Bone Sockets With and Without HTR Grafting and Bone Preservation

 

Alveoloplastycompaction and HTR Grafting for Ridge Preservation 5

Back Loading HTR Syringe with PRP for Rapid Tissue Healing

 

Alveoloplastycompaction and HTR Grafting for Ridge Preservation 6

Intra-Operative Monitor for Simplant or CBCT scan

 

Alveoloplastycompaction and HTR Grafting for Ridge Preservation 7

Osteotome, Mallet and Chisel for Alveoloplasty Compaction

 

 

Alveoloplastycompaction and HTR Grafting for Ridge Preservation 8 Alveoloplastycompaction and HTR Grafting for Ridge Preservation 9

Alveoloplasty Compaction and HTR Grafting for ridge preservation

 

Alveoloplastycompaction and HTR Grafting for Ridge Preservation 10 Alveoloplastycompaction and HTR Grafting for Ridge Preservation 11

Alveoloplasty Compaction and HTR Grafting for ridge preservation

 

Alveoloplastycompaction and HTR Grafting for Ridge Preservation 13 Alveoloplastycompaction and HTR Grafting for Ridge Preservation 14

Alveoloplasty Compaction and HTR Grafting for ridge preservation

 

Alveoloplastycompaction and HTR Grafting for Ridge Preservation 15 Alveoloplastycompaction and HTR Grafting for Ridge Preservation 16

Alveoloplasty Compaction and HTR Grafting for ridge preservation

 

Alveoloplastycompaction and HTR Grafting for Ridge Preservation 17 Alveoloplastycompaction and HTR Grafting for Ridge Preservation 18

Alveoloplasty Compaction and HTR Grafting for ridge preservation

 

Alveoloplastycompaction and HTR Grafting for Ridge Preservation 19 Alveoloplastycompaction and HTR Grafting for Ridge Preservation 20

Alveoloplasty Compaction and HTR Grafting for ridge preservation

 

Alveoloplastycompaction and HTR Grafting for Ridge Preservation 21 Alveoloplastycompaction and HTR Grafting for Ridge Preservation 22

Alveoloplasty Compaction and HTR Grafting for ridge preservation

 

Alveoloplastycompaction and HTR Grafting for Ridge Preservation 23 Alveoloplastycompaction and HTR Grafting for Ridge Preservation 24

Alveoloplasty Compaction and HTR Grafting for ridge preservation

 

Alveoloplastycompaction and HTR Grafting for Ridge Preservation 25

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

 

 Alveoloplastycompaction and HTR Grafting for Ridge Preservation 26

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

 

Alveoloplastycompaction and HTR Grafting for Ridge Preservation 27 Alveoloplastycompaction and HTR Grafting for Ridge Preservation 28

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        

           

Alveoloplastycompaction and HTR Grafting for Ridge Preservation 29 Alveoloplastycompaction and HTR Grafting for Ridge Preservation 30

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

           

Alveoloplastycompaction and HTR Grafting for Ridge Preservation 31

Post-Operative, One Day Radiograph

 

Alveoloplastycompaction and HTR Grafting for Ridge Preservation 32

Completed Treatment and Restored Comfort Function and Aesthetics

 

Alveoloplastycompaction and HTR Grafting for Ridge Preservation 33

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

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