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[Plastic operation of alveolar process by visor osteotomy]
Meikai Daigaku Shigaku Zasshi = the Journal of Meikai University School of Dentistry
|January 1, 1989
Summary
Severe lower jaw bone loss after tooth extraction can make dentures ill-fitting. A visor osteotomy with iliac bone grafting successfully restored denture fit for a patient with significant mandibular atrophy.
Area of Science:
- Oral surgery
- Dental implantology
- Maxillofacial reconstruction
Background:
- Tooth extraction, particularly in the mandible, frequently leads to alveolar process and mandibular body atrophy.
- Severe bone resorption compromises denture stability and patient satisfaction, necessitating reconstructive interventions.
- Restoring mandibular height is crucial for optimal full denture function and aesthetics.
Observation:
- A 54-year-old female patient presented with a poorly fitting full denture due to marked atrophy of the mandibular alveolar process.
- The patient's dissatisfaction stemmed from the inability of the existing denture to seat properly on the resorbed ridge.
- Surgical intervention was indicated to improve the foundational support for the denture.
Findings:
- A plastic operation involving visor osteotomy and iliac bone grafting was performed to augment the mandibular alveolar process.
- The surgical procedure aimed to increase the vertical height of the alveolar ridge.
- Post-operative assessment confirmed the successful augmentation of the mandibular bone structure.
Implications:
- The enhanced mandibular ridge provided a stable base for a functionally well-fitting full denture.
- This surgical approach successfully addressed the patient's complaint of denture unfitness.
- Visor osteotomy with iliac bone grafting is a viable option for managing severe mandibular atrophy and improving denture outcomes.