Why Surgery May Be Needed Before a Denture
After teeth are removed, the ridge can heal with sharp edges, prominent areas, undercuts, or uneven contours. Existing bone changes and soft-tissue attachments can also reduce the space needed for a denture flange or another prosthetic component.
The restorative dentist identifies how the anatomy is affecting the proposed appliance. Dr. Udy then evaluates whether a surgical correction is appropriate and how much tissue should be preserved for support.
Types of Pre-Prosthetic Procedures
Treatment can include smoothing or reshaping bone, reducing a prominent ridge area, removing excess tissue, or repositioning soft-tissue attachments. The specific procedure is selected for the problem identified by the restorative dentist and oral surgeon.
Pre-prosthetic surgery addresses specific bone or soft-tissue concerns, but denture comfort and function also depend on fit, bite, saliva, muscle control, ridge shape, and prosthetic design.
Coordinating Surgery, Healing, and the New Prosthesis
Timing should be coordinated before surgery. Some patients wear an adjusted temporary denture during healing, while others need to leave the appliance out for a period. A denture that presses on the surgical site can delay healing or change the intended contour.
The restorative dentist determines when impressions, relining, or fabrication should begin. Dr. Udy monitors surgical healing and confirms when the area is ready for the planned prosthetic step.
Preparing for Pre-Prosthetic Surgery
Bring the current denture or appliance if the offices have asked to evaluate it. Provide a complete medication and medical history and follow the anesthesia instructions for your procedure.
After surgery, follow the written directions for diet, hygiene, medication, appliance use, and follow-up. Call our office if the denture rubs the site or if pain, swelling, bleeding, or healing does not match the instructions.
Frequently Asked Questions About Pre-Prosthetic Surgery
