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A tooth-stabilized surgical template for alveolectomy.
Matilda Dhima1, Sreenivas Koka, Kevin L Rieck
1Assistant Professor, Mayo Clinic College of Medicine, Mayo Clinic, Rochester, Minn; and Chief Resident, Prosthodontics and Maxillofacial Prosthetics, Department of Dental Specialties, Division of Prosthetic and Esthetic Dentistry, Mayo Clinic, Rochester, Minn.
The Journal of Prosthetic Dentistry
|November 2, 2013
Summary
Supraeruption of teeth and bone in partial edentulism can reduce space for dental work. This study presents a tooth-stabilized surgical template for predictable alveolectomy when teeth are present.
Area of Science:
- Dentistry
- Oral Surgery
- Prosthodontics
Background:
- Long-standing partial edentulism frequently leads to supraeruption of opposing teeth and alveolar bone.
- This supraeruption compromises the interarch distance, complicating restorative and prosthetic treatment planning.
- Limited interarch space presents a significant challenge in achieving functional and aesthetic outcomes in dental rehabilitation.
Purpose of the Study:
- To present a novel method for fabricating and utilizing a tooth-stabilized surgical template.
- To demonstrate the predictable application of this template for alveolectomy in patients with existing teeth.
- To address the challenge of compromised interarch distance caused by supraeruption in partially edentulous patients.
Main Methods:
- Fabrication of a custom surgical template stabilized by remaining teeth.
- Utilizing the template to guide precise alveolectomy procedures.
- Clinical application in cases of supraeruption and reduced interarch distance.
Main Results:
- The tooth-stabilized surgical template allows for predictable reduction of supraerupted bone.
- Accurate alveolectomy is achieved, effectively increasing interarch distance.
- The method facilitates improved conditions for subsequent dental restorations.
Conclusions:
- A tooth-stabilized surgical template is an effective tool for alveolectomy in managing supraeruption.
- This technique offers a predictable solution for restoring adequate interarch distance.
- The described method enhances treatment planning and outcomes for partially edentulous patients.
