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Historic Alveolar Plastic Surgery: Do you know when this technology originated?
Alveolaplasty is a common preparation procedure in dental surgery. Its main purpose is to reshape or smooth the jawbone before denture installation. This medical technology not only facilitates tooth removal, but also ensures that the resulting denture or dental implant will better fit and fit the patient's oral structure. As teeth are removed, it is often necessary to remove any remaining bone irregularities to provide a smooth base for the denture to fit.
History of alveolar plastic surgery
"In 1853, Willard first described the procedure of reshaping the alveolar bone and alveolar mucosa to facilitate future placement of dentures."
This technology has undergone many changes and evolutions since the 19th century. For example, the radical alveolar bone resection technique described by Beers in 1876 came to be considered inappropriate because it resulted in excessive bone loss. And in 1919, Armin Wald became one of the first oral and facial surgeons to successfully perform this procedure in the United States. In 1923, Dean's technique was dedicated to preserving the labial cortical bone and avoiding mucosal dissection, allowing patients to experience less pain and swelling after surgery.
Indications for alveolar plastic surgery
The main purpose of alveolar plastic surgery is to reshape the alveolar bone to provide a functional jawbone structure. This procedure is usually performed during tooth extraction. If the alveolar bone has sharp edges after the tooth is removed, it will need to be smoothed to promote healing and avoid pain or other complications. In addition, alveolar plastic surgery can also be performed as a stand-alone surgical procedure to prepare for the placement of fixed or removable dentures.
"Alveolar plastic surgery can effectively maintain the width and height of the alveolar ridge, thereby improving the stability and retention of dentures."
Contraindications and Limitations
Contraindications to alveolar plastic surgery include situations when there is a risk of damage to important structures such as nerve bundles or blood vessels during the procedure. In addition, this surgery is not recommended if the bone has lost volume or has structural abnormalities. Some patients may not be suitable candidates for alveolar plastic surgery because of previous radiation therapy to the head and neck or because of certain medical conditions, such as a bleeding tendency or immunosuppression.
Surgical equipment
Tools required for alveolar plastic surgery include bone forceps, which are effective at cutting bone and can be used to remove large amounts of bone. Bone files are used for subtle smoothing. Others such as rotary tools and hand tools are also necessary during surgery.
Preoperative planning
Prior to alveolar plastic surgery, clinical examination usually focuses on bony protrusions and other significant jaw abnormalities, and radiographic examination is used to evaluate the presence of retained roots, impact teeth, and other pathologies to reduce postoperative discomfort. .
Simple alveolar plastic surgery
Simple alveolar plastic surgery can be performed during the tooth extraction process or during bone remodeling after tooth extraction. The purpose is to achieve optimal support for the denture and preserve as much bone and soft tissue as possible. Depending on the degree of bone irregularity, different approaches may be needed, such as lifting a surgical alveolar seal.
Complex technology
In addition to simple techniques, it also includes further specialized techniques such as the "Dean technique", such as internal alveolar plastic surgery. The advantage of this technique is that it does not destroy muscle attachments and reduces postoperative bone resorption. For example, the reshaping of the maxillary protrusion or the reduction of the maxillary and lingual protrusions, because the sharp edges when resorbed in the jaw can cause pain when wearing dentures.
Follow-up considerations
Common complications after surgery include pain, swelling, infection, and bleeding. Especially if the surgical site is close to the nerve bundle, the physician needs to promptly evaluate the nerve damage.
The history of alveolar plastic surgery shows how the field of dentistry continues to improve and evolve over time in response to patient needs. For the future of this surgery, how else do you think the technology can be further improved?
