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About Alveoloplasty

An alveoloplasty (also referred to as alveoplasty) is a surgical procedure used to smooth and reshape a patient’s jawbone in areas where teeth have been extracted or otherwise lost.

The Alveoloplasty Procedure

Anesthesia Process

Your dentist will need to anesthetize (numb up) the bone and overlying gum tissue in the region where the alveoloplasty will be performed.

In most cases, the use of a local anesthetic will suffice (standard dental “shots”). If the procedure will be extensive, or if the patient simply prefers, some type of additional sedation can be used.

Exposing the Jaw Bone

The dentist will need to create gum tissue flaps and reflect them back to expose the underlying bone that needs to be trimmed and adjusted.

Recontouring the bone

Bone trimming is typically accomplished via the use of bone files, rongeurs (dental “pliers” used to snip bone) and/or dental drills.

Trimming is always accompanied with copious irrigation with fluids (water or saline solution). This both washes away debris and helps to keep the bone tissue moist/hydrated and cool. (The use of a dental drill especially can heat up and damage live bone tissue.)

Small lumps and bumps may just be trimmed from the surface of the jawbone. Larger protrusions may involve removing sections of bone. In some cases, a protruding ridge may be weakened internally and then compressed so to give it its needed shape.

Closing the surgical site

Once the dentist is satisfied that they have made the necessary corrections, the surgical site is flushed with water or saline solution and then the reflected flaps are positioned back and tacked into place with stitches.

Post-op healing Care

Non-resorbing stitches are typically removed after 7 to 10 days. (The gums have significantly healed by this point.)

It’s common that 4 to 6 weeks of healing are allowed before denture construction can be begun.

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