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In addition, secondary alveoloplasty sometimes occurs after the initial procedure to eliminate any gross bone irregularities. [ 18 ] A full thickness flap is usually elevated to a point apical to the desired area to be contoured, and according to the amount of bone needed to be removed, a bone file, or a bone rongeur , or a burr under copious ...
Socket preservation or alveolar ridge preservation is a procedure to reduce bone loss after tooth extraction. [1] [2] After tooth extraction, the jaw bone has a natural tendency to become narrow, and lose its original shape because the bone quickly resorbs, resulting in 30–60% loss in bone volume in the first six months. [3]
Current recommendations are for a 2-month drug holiday prior to dental surgery for those who are at risk (intravenous drug therapy, greater than 4 years of by-mouth drug therapy, other factors that increase risk such as steroid therapy). [7] It usually develops after dental treatments involving exposure of bone or trauma, but may arise ...
The alveolar bone proper, also called bundle bone, directly surrounds the teeth. [6] The terms alveolar border, alveolar crest, and alveolar margin describe the extreme rim of the bone nearest to the crowns of the teeth. [7] [8] [9] The portion of alveolar bone between two adjacent teeth is known as the interdental septum (or interdental bone ...
Removing bone for a crown lengthening procedure will effectively decrease the bony support available for surrounding teeth and unfavorably increase the crown-to-root ratio. Additionally, once alveolar bone is removed, it is almost impossible to restore it to previous levels. This has implications for a patient's future treatment options.
The most common location of dry socket: in the socket of an extracted mandibular third molar (wisdom tooth). Since alveolar osteitis is not primarily an infection, there is not usually any pyrexia (fever) or cervical lymphadenitis (swollen glands in the neck), and only minimal edema (swelling) and erythema (redness) is present in the soft tissues surrounding the socket.
Treatment options have been explored; however, severe cases of ONJ still require surgical removal of the affected bone. [3] A thorough history and assessment of pre-existing systemic problems and possible sites of dental infection are required to help prevent the condition, especially if bisphosphonate therapy is considered. [2]
As growth of the alveolar bone continues and the adjacent permanent teeth erupt, the ankylosed deciduous tooth appears to submerge into the bone, although in reality it has not changed position. Treatment is by extraction of the involved tooth, to prevent malocclusion, periodontal disturbance or dental caries. [3]