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Preprosthetic Surgery-Narrative Review and Current Debate
Hendrik Terheyden1, Gerry M Raghoebar2, Mats Sjöström3
1Department of Oral & Maxillofacial Surgery, Helios Hospitals, 34121 Kassel, Germany.
Journal of Clinical Medicine
|December 9, 2023
Summary
Modern preprosthetic surgery restores function and form after tooth loss, addressing jaw atrophy and denture issues. Dental implants are key, improving quality of life for patients with edentulism.
Area of Science:
- Oral and Maxillofacial Surgery
- Dental Implantology
- Reconstructive Dentistry
Background:
- Atrophic edentulous jaws cause functional impairment, poor denture retention, and reduced quality of life.
- Tooth loss leads to alveolar bone loss due to disuse atrophy.
- Congenital deformities, trauma, or ablative surgery can necessitate preprosthetic interventions.
Purpose of the Study:
- To review the role of modern preprosthetic surgery in restoring function and form.
- To highlight the impact of dental implants on managing jaw atrophy.
- To discuss current controversies and treatment options in preprosthetic surgery.
Main Methods:
- Review of modern preprosthetic surgical techniques.
- Discussion of the role of dental implants in bone preservation and function restoration.
- Analysis of controversies including tissue augmentation, bone regeneration, and grafting techniques.
Main Results:
- Dental implants have revolutionized preprosthetic surgery by preserving bone and mimicking natural teeth.
- Modern techniques address challenges like jaw atrophy and edentulism, improving patient outcomes.
- Various controversies exist regarding optimal approaches for bone and soft tissue augmentation.
Conclusions:
- Preprosthetic surgery, enhanced by dental implants, effectively restores function and form in patients with jaw atrophy.
- A multidisciplinary team approach involving surgeons and prosthodontists is crucial for optimal rehabilitation.
- Informing patients about surgical options is vital for successful treatment planning and outcomes.

