Osseous Surgery Xudong Wang,DDS,MD Associate Professor Dept.Oral and Maxillofacial Surgery Ninth People's Hospital Shanghai,P.R.China 200011 2023716 xudongwang70@163.com
2023/7/16 Osseous Surgery Xudong Wang, DDS,MD Associate Professor Dept. Oral and Maxillofacial Surgery Ninth People’s Hospital Shanghai, P.R. China 200011 xudongwang70@163.com
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) 20237116
2023/7/16 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)
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 2023716
2023/7/16 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
Alveoplasty-cont'd Bone removal (chisel&mallet/rongeur) ↓ unibevel side-cutting Bone smooth Tips (bone file) side-cutting for rongeur ·unibevel chisel preserve bone AMAP “pull”smoothing for file 20237/16
2023/7/16 Bone removal (chisel&mallet / rongeur) unibevel side-cutting Bone smooth (bone file) Tips • side-cutting for rongeur • unibevel chisel • preserve bone AMAP • “pull” smoothing for file Alveoplasty-cont’d
Alveoplasty-cont'd Suturing (Interrupted/continuous/margin/matress) Post-op care ·Mouth rinse Suture removing (1w post-op) .Prosthetic restoration (2w post-op) 2023/716
2023/7/16 Suturing (Interrupted/continuous/margin/matress) Alveoplasty-cont’d Post-op care • Mouth rinse • Suture removing (1w post-op) •Prosthetic restoration (2w post-op)
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Removal of mandibular tori ·Location ·Anesthsia ·Incision 20237/16
2023/7/16 Removal of mandibular tori • Location • Anesthsia • Incision
Lingual mucoperiosteal flap reflection Undermine the tori with fissure bur Remove bone with chisel 20237116
2023/7/16 Undermine the tori with fissure bur Remove bone with chisel Lingual mucoperiosteal flap reflection
Removal of palatal torus Indication Full/partial denture restoration Ulcerated of mucosa Interfered with speech Anesthesia ·GP block ·NP block 2023716
2023/7/16 Removal of palatal torus Indication • Full/partial denture restoration • Ulcerated of mucosa • Interfered with speech Anesthesia • GP block • NP block
Incision Flap reflection 2023mH Segmenting w/fissure bur
2023/7/16 Incision Flap reflection Segmenting w/ fissure bur