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Preprosthetic surgery in the elderly

S Hillerup1

  • 1Department of Oral and Maxillofacial Surgery, Copenhagen County University Hospital Glostrup, Denmark.

The Journal of Prosthetic Dentistry
|November 1, 1994
PubMed
Summary
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Preprosthetic surgery addresses denture issues and improves ridges. Combining it with dental implants offers solutions for complex cases, especially in the maxilla, that neither method can solve alone.

Area of Science:

  • Dentistry
  • Oral and Maxillofacial Surgery
  • Prosthodontics

Background:

  • Preprosthetic surgery is crucial for optimizing denture-bearing tissues and improving alveolar ridges.
  • Limited vestibuloplasty remains a cost-effective option for patients using removable dentures.
  • Advancements in osseointegrated implants have decreased the necessity for extensive ridge augmentation procedures.

Purpose of the Study:

  • To explore the role and efficacy of preprosthetic surgery in conjunction with dental implants.
  • To identify clinical scenarios where a combined approach is superior to individual treatments.

Main Methods:

  • Review of current literature on preprosthetic surgical techniques.
  • Analysis of case studies involving preprosthetic surgery and dental implant rehabilitation.

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  • Evaluation of treatment outcomes for combined versus standalone approaches.

    • Main Results:

    • Preprosthetic surgery effectively manages soft and hard tissue pathologies.
    • While implants have reduced the need for major ridge surgery, certain complex cases, particularly in the maxilla, still require preprosthetic intervention.
    • Combining preprosthetic surgery with implants provides comprehensive solutions for challenging maxillofacial reconstructions.

    Conclusions:

    • Preprosthetic surgery remains a vital component in prosthodontic and maxillofacial surgery.
    • A combined surgical and implant-based approach offers enhanced treatment possibilities for complex preprosthetic conditions.
    • Integrated treatment planning is essential for optimizing outcomes in patients requiring both preprosthetic surgery and dental implants.