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Dentoalveolar Surgery

What is Dentoalveolar surgery?

Dentoalveolar surgery encompasses all procedures involved with the teeth and associated structures, including alveolar bone and adjacent soft tissue.

Most common procedures would include:

  • Tooth extractions and associated bony surgery. This would include extraction of impacted wisdom teeth or other impactions.
  • Surgical exposure of impacted teeth or extraction of teeth for orthodontic purposes. Many times your orthodontist will recommend extractions or surgical exposure of impacted teeth to help straighten your teeth.
  • Surgical Endodontic procedures. The most common of these is a surgical apicoectomy, which is usually performed on a root canal treated tooth that has become infected or painful.
  • Pre-Prosthetic surgery. Many surgical procedures (such as a vestibuloplasty or skin graft) can be performed to help improve the fit and retention of full or partial dentures. Other common procedures would include alveoloplasty (smoothing of bone) or exostosis removal (removal of abnormal or enlarged bone to allow dentures to fit properly).
  • Surgical management of bone loss. The most common procedure is bone grafting. Many types of bone grafting can be performed to restore or “fill in” bony defects. Bone grafting materials used frequently are autologous bone (your own bone taken from a second site) or homologous bone (freeze dried human bone from a bone bank). If you wear dentures or partials, and bone loss is severe in your upper or lower jaws, placement of Implants for later use can also be performed with bone grafting procedures.
Many of the procedures can be performed with local anesthesia, however, some procedures may require intravenous sedation or general anesthesia. Be sure to speak with Dr. Pitts about your anesthetic choices prior to surgery.

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