Pre-prosthetic Surgery

The preparation of your mouth before the placement of a removable, or occasionally a permanent dental prosthesis is referred to as pre-prosthetic surgery.

In order to ensure the maximum level of fit and comfort, some patients require minor oral surgical procedures before receiving their dental prosthetics. A denture sits on the bone ridge, so it is very important that the bone be the proper shape and size.  If a tooth needs to be extracted, the underlying bone might be left sharp and uneven.  For the best fit of a denture, the bone might need to be smoothed out or reshaped. Occasionally, excess bone would need to be removed prior to denture insertion or bone added to pre-existing bone defects to allow a more even fit of the prosthesis.

In an otherwise healthy mouth, if implant procedures are being considered, bone grafting may be necessary in those areas which teeth have been missing for a long period of time, have never developed, or were lost as a result of a traumatic accident.  Dental implants require an area of bone which is sufficient to house the implant and provide adequate support for healing.  Dr. Fischer may ask you to consult with an Oral Surgeon to assess the possible need for bone grafting before an implant supported restoration or prosthesis may be considered.  If grafting is necessary, often three months of healing and bone stabilization is require before the implant can be placed into the new, improved site.

One or more of the following procedures might need to be performed in order to prepare your mouth for a denture:

  • Bone addition or grafting
  • Bone smoothing and reshaping
  • Removal of excess bone.
  • Bone ridge reduction.
  • Removal of excess gum tissue.
  • Exposure of impacted teeth.

Dr. Fischer will review your particular needs with you during your appointment.