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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 alveoloplastycompation 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 2:
Extractions, Alveoloplasty compaction,
and HTR
Grafting for ridge preservation

28 Years of Continuous Maxillary Denture Wearing and Resulting Bone
Loss

Simulated Bone Sockets With and Without HTR Grafting and Bone
Preservation
Back Loading HTR Syringe with PRP for Rapid Tissue Healing

Pre-Op Photographs

Pre-Op Radiographs

Pre-Op Radiographs

Osteotome, Mallet and Chisel for Alveoloplasty Compaction

Alveoloplasty Compaction and HTR Grafting Procedure

Alveoloplasty Compaction and HTR Grafting Procedure and Membrane Closure

Alveoloplasty Compaction and HTR Grafting Procedure and Membrane Closure

Pre-Op Photograph and Periosteal Reflection
Demonstrating Bony Exostoses

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

Post-Op Photograph Demonstrating Soft Gentle
Contours with Healed Ridge

Post-Op Radiograph with HTR Grafting

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