Pre-prosthetic Surgery

Procedures used to reshape your gums and jaws for wearing a complete or partial denture (removable prosthesis) are referred to as “pre-prosthetic surgery.”  Removable dental appliances rest on the gum and bone ridge, so it is very important that the bone is the proper shape and size.  For the best fit of a denture, the bone might need to be smoothed or reshaped; or excess gum tissue might need to be trimmed.

Common problems:

• Exostosis – a developmental bulge of normal bone that may interfere with the seating of prosthesis.  These will sometimes slowly enlarge over many years and require excision.
• Mandibular torus – an exostosis that typically is found along the gum line, adjacent to the lower premolar teeth, adjacent to the tongue.
• Palatal torus – an exostosis that is found on the roof of the mouth.
• Epulus – excessive thickening of the gum tissue that typically develops under a chronically loose-fitting denture.  Over time, the gums become more flabby and tender.  The excessive tissue needs to be excised and the denture relined or remade.

The goal of these procedures is to maximize the fit and comfort of the prosthesis.   Your dentist may need to make adjustments in your complete or partial denture after you have healed.  We will carefully coordinate your care with your referring dentist.