|The preparation of your mouth before the placement of a prosthesis is referred to as pre-prosthetic surgery. If you are having your teeth removed and replaced with dentures (false teeth) or if you are already without teeth and plan to have dentures, certain surgical procedures of the mouth may be indicated. Depending on your evaluation, the oral and maxillofacial surgeon may perform these procedures in the office during single or multiple appointments, or in the hospital.
Following radiographs (X-rays) and examination of your mouth, the first step is the removal of any diseased teeth. When the teeth and any infected tissues have been removed, the surgeon carefully evaluates the site for dentures. The bone and soft tissues which will serve as a support for the denture must be properly prepared. The oral and maxillofacial surgeon will surgically remove any excess soft tissue of bony irregularities. This procedure is known as “recontouring” and is accomplished by exposing and reshaping the bone.
Persons who have been wearing dentures may need new ones. Patients may benefit by additional recontouring. The removal of excess soft and flabby tissue which would be an unstable base for the denture may be indicated. Sometimes high muscle attachments which interfere with denture stability may have to be corrected. Procedures to expose additional bone to support the denture also may be performed. This is often necessary for patients who have old or poorly fitting dentures.
In these phases of oral and maxillofacial surgery your surgeon works closely with your dentist in order to provide you with the best care.