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What is alveoloplasty?

An alveoloplasty (also called alveoplasty) is a surgical procedure used to smooth and reshape a patient’s jawbone in areas where teeth have been extracted or lost. Alveoloplasty can be done alone but it is usually performed at the same time with tooth extraction.

Why have an alveoloplasty?

Alveoloplasty can take up a substantial portion of a patient’s extraction process when multiple consecutive teeth have been removed.  It’s easier for the dentist to identify ridge irregularities and potential problems at that moment, since he has already accessed the area. Now he can attempt to substantially improve the condition.

If you’re getting dentures, it’s commonplace at the time of initial denture construction for a dentist to identify jawbone ridge irregularities likely to interfere with denture insertion, comfort, stability and/or retention. If so, plans should be made to perform an alveoloplasty as a stand-alone procedure.

What is involved in the procedure?

We make an incision in the gum tissue and peel it back to expose the bone. A rotary drill is used to remove the necessary bone, which is then filed to smoothen it. Next, the area is irrigated, so that all bone particles and debris are removed. If a stent is needed, we will replace the gum tissue over the bone and set the stent above it. The gum tissue is then replaced and stitched closed. Usually locking sutures are used that minimize the bleeding and seal the tissues closed.

Stitches are generally removed after seven to 10 days. Four to six weeks of healing are allowed before denture construction begins.