Surgical Reduction and Contouring of Bony Protuberances on Buccal Aspect of #25–#28
Ridge Modification / Alveoloplasty
Chief Complaint
Patient presented with excessive bony protuberances on the buccal side of teeth #25, #26, #27, and #28, interfering with denture fabrication.
Clinical Findings
Prominent bony protuberances on buccal aspect of #25–#28.
Patient expressed desire to proceed with denture treatment.
Pre-operative photographs and CBCT taken.
Treatment Plan
Surgical exposure of bony protuberances.
Surgical reduction and contouring of bone to eliminate undercuts and facilitate denture placement.
Patient and guardian counseled on risks, procedures, and alternatives.
Informed consent obtained.
Pre-operative Assessment
CBCT confirmed extent of bony protuberances.
Medical history reviewed, no contraindications for local anesthesia.
Anesthesia
Local infiltration administered around #25–#28.
Surgical Procedure
Patient cleaned and draped under sterile conditions.
Incision made and buccal flap raised.
Excess bony protuberances surgically removed and reduced.
Bone contoured and smoothened to restore proper ridge form.
Hemostasis achieved and surgical site irrigated.
Post-operative Assessment
Post-operative photographs and CBCT confirmed satisfactory reduction and contouring.
Maxillary sinus intact and not involved.
Patient reviewed results intraoperatively and expressed high satisfaction with outcome.