文档介绍：Osseous Surgery
Xudong Wang, DDS,MD
Associate Professor
Dept. Oral and Maxillofacial Surgery
Ninth People’s Hospital
Shanghai, . China 200011
xudongwang70@
2017/11/11
Osseous Preprosthetic Surgery
Alveoloplasty (exostosis, undercut, knife-edge ridge, etc )
Torus(tori) removal (palatal/mandibular)
Maxillary/ mandibular augmentation
(autologous bone graft, lyophilized cartilage/bone,
hydroxyapatite, guided tissue regeneration memberane,
tissue engineered bone)
Correction of abnormal ridge relationship
(orthognathic surgery)
2017/11/11
Alveoloplasty
Anesthesia
(local infiltration)
Incision &
Mucoperiosteal flap reflection
(scalpel & periosteal elevator)
Tips
exposure & visualization
blood supply
rest on intact bone
full-thinckness
avoid injury to vital structures
2017/11/11
Bone removal
(chisel&mallet / rongeur)
side-cutting
unibevel
Bone smooth
(bone file)
Tips
side-cutting for rongeur
unibevel chisel
preserve bone AMAP
“pull” smoothing for file
Alveoplasty-cont’d
2017/11/11
Suturing
(Interrupted/continuous/margin/matress)
Alveoplasty-cont’d
Post-op care
Mouth rinse
Suture removing
(1w post-op)
Prosthetic restoration
(2w post-op)
2017/11/11
2017/11/11
Removal of mandibular tori
Location
Anesthsia
Incision
2017/11/11
Remove bone with chisel
Undermine the tori with fissure bur
Lingual mucoperiosteal flap reflection
2017/11/11
Removal of palatal torus
Indication
Full/partial denture restoration
Ulcerated of mucosa
Interfered with speech
Anesthesia
GP block
NP block
2017/11/11
Incision
Flap reflection
Segmenting w/ fissure bur
2017/11/11