What is Preprosthetic Surgery?

Preprosthetic surgery refers to procedures commonly performed in dentistry, also known as surgery before dental prosthetics. This surgical procedure aims to improve the patient's oral health, enhance the durability of the prosthesis, and ensure better compatibility.

In addition to making adjustments in the mouth, this surgery also focuses on aesthetics. It ensures highly accurate results during the production of the prosthesis.

Types of Preprosthetic Surgery

Preprosthetic surgery has many different types. These procedures aim to eliminate damage or irregularities in the jawbone and surrounding tissues before prosthetics, ensuring the healthiest and most accurate results.

Types of Preprosthetic Surgery:

Alveoplasty: Alveoplasty is performed to smooth out irregular areas that occur after tooth extraction. The goal here is to prevent pain before prosthetic placement.
Removal of Excess Bone: This procedure involves the removal of overly large bones. It helps improve oral function and ensures a better fit for the prosthesis.
Removal of Excess Gum Tissue: This procedure removes excess gum tissue that prevents the prosthesis from fitting properly. This process is known as gingivectomy.
Vestibuloplasty: This procedure is used when the distance between the teeth and lips is minimal in the lower jaw. It increases the depth in this area, improving the stability of the prosthesis.
Frenectomy: Frenectomy involves repositioning the muscle attachment that connects the gums to the lips in the upper jaw and the gums in the lower jaw. In this process, the high frenulum is cut and repositioned to the ideal location.
Exposure of Impacted Teeth: This involves the extraction of improperly aligned or impacted teeth that hinder the placement of prosthetics, serving as the first step in the prosthetic process.

Advantages of Preprosthetic Surgery

One of the greatest advantages of preprosthetic surgery is its ability to significantly and visibly improve the fit and function of prosthetics for patients. It enhances the areas where the prosthesis will be placed, ensuring a better fit and functionality, making the prosthetics more comfortable to use.

Additionally, this procedure improves the individual's appearance prior to prosthetic placement, helping them achieve a more youthful look. Moreover, it also enhances the smile line, contributing to an improved overall aesthetic.

In Which Cases Is Preprosthetic Surgery Performed?

Preprosthetic surgery is planned according to each individual's oral structure and needs. After evaluating the patient's condition, the specialist determines the appropriate surgical method and develops a treatment plan. The goal of this surgery is to prepare the jaw and its tissues, as well as address any existing dental issues, to ensure the successful placement of prosthetics that enhance facial aesthetics.

Preprosthetic surgery aims to provide effective and comfortable solutions for the following situations:

Restoring jaw function and ensuring comfortable oral health for the patient.
Preserving the jaw structure.
Improving the jaw structure.
Adding aesthetic value to the face.
Reducing or eliminating pain caused by an ill-fitting prosthesis.
Enhancing the area where the prosthesis will be placed.
Placing endosseous implants in the jaw.
Strengthening the bone structure before prosthetics to ensure proper adhesion.

Common Situations for Preprosthetic Surgery:

Toothlessness or tooth loss: Used to prepare the oral structure for prosthetics in individuals who are toothless or have experienced significant tooth loss.
Irregular tooth alignment: Performed to improve the alignment of irregularly arranged teeth before prosthetic surgery.
Jawbone issues: Addressed to resolve jawbone problems and enhance the success of the prosthetics.
Tissue damage and skeletal deformities: Used to repair any damage to oral tissues and ensure the prosthetic fits properly.
Prosthetic compatibility problems: For individuals with issues from previous prosthetics, this surgery corrects and improves the oral structure, preventing future prosthetic complications.
Jawbone grafting needs: Applied to patients with low jawbone density, enhancing the durability of the prosthetic.

Preprosthetic surgery addresses these and many other conditions to ensure the patient's comfort and overall health are well protected.

Who Is Preprosthetic Surgery Performed On?

Preprosthetic surgery can be performed on individuals who are toothless or have experienced significant tooth loss to prepare and improve the oral structure before prosthetic surgery. It is also used to address issues caused by bone growths or irregularities in the jaw, as well as for patients with indentations or protrusions on the jawbone. Additionally, various adjustments can be made to enhance the durability and fit of the prosthetics for these individuals.

Risks of Preprosthetic Surgery

All surgical procedures come with potential risks. However, these risks can be minimized when the procedure is performed by a skilled specialist and under proper conditions.

The potential risks of preprosthetic surgery include:

Infection: As with any surgical procedure, there is a risk of infection. Maintaining proper hygiene during and after the procedure is essential to prevent this.
Bleeding: Excessive bleeding may occur during the procedure, which requires careful handling of the surgical area.
Pain and Swelling: Pain and swelling are common after the procedure, but these are typically temporary.
Wound Healing Problems: The surgical site may experience delayed healing, so proper care of the area is crucial.
Complications: Complications during the procedure can occur, including potential nerve damage.

Ensuring the procedure is performed under the guidance of an experienced professional can significantly reduce these risks.

Things to Consider Before Preprosthetic Surgery

Before undergoing preprosthetic surgery, the following factors should be carefully considered:

A detailed evaluation of the patient
Assessment of the patient's overall health condition
Taking a thorough medical history (anamnesis)
Performing detailed imaging studies
Reviewing the patient's general health status
Evaluating the use of tobacco and alcohol
Ensuring proper oral and dental hygiene and care
Conducting an anesthesia assessment
Preparing a post-surgery care schedule

These are among the key factors that need to be addressed prior to preprosthetic surgery.