Britaria Theressy, - and Agung Krismariono, - (2016) Tissue Movement for Better Results in Preprosthetic Reconstructive Surgery. In: Scientific Meeting. Dentisphere. Hangtuah University Faculty of Dentistry. Hangtuah University Faculty of Dentistry, Shangri-la Hotel Surabaya, pp. 96-106. ISBN 978-602-145-90-1-0

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Abstract

Background: Alveolar bony defects can occur due to advance periodontal disease. These defects often cause a significant problems in dental treatment and rehabilitation. Many techniques exist for hard tissue augmentation. These techniques are based on specific procedures to perform preprosthetic rehabilitation. This article presents case report of preprosthetic surgery with severe bone loss in two different techniques. Purpose: To determine the superior techniques of two methods in preprosthetic surgery with severe bone loss. Case and case management: A nonsmoker 40 years old male was first examined in author’s department in August 2015with severe anterior mandible bone loss. The diagnosis was chronic periodontitis. His treatment plan included tooth extraction of hopeless teeth, bone augmentation and implant. Nonsurgical treatment was performed on all teeth, preprosthetic surgery with severe bone loss performed in anterior mandible. The first technique, incision made circularly right on each tooth sulcus without any horizontal incision on the apical of interdental papillae. Whereas the second technique, horizontal and vertical incision on the apical of interdental papillae was performed. Results: Three months post surgery, clinically the alveolar ridge level has increased. Radiographic evaluation: there are better bone formation after the second surgery either increasing of bone level condition as well as bone density and periodontal space recovery. Conclusion: The surgical technique with incision right on each sulcus of tooth and incision horizontally and vertically on the apical of interdental papillae led to novel possibilities to regenerate alveolar bone.

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