Pre-Prosthetic Surgery

The preparation of your mouth before the placement of a prosthesis is referred to as pre-prosthetic surgery.

Some patients require minor oral surgical procedures before receiving a partial or complete denture in order to ensure the maximum level of comfort. A denture sits on the bone ridge, so it is very important that the bone is the proper shape and size. If a tooth needs to be extracted, the underlying bone might be sharp and uneven. For the best fit of a denture, the bone might need to be smoothed or reshaped. Occasionally, excess bone may need to be removed prior to denture insertion.

One or more of the following procedures might need to be performed in order to prepare your mouth for a denture:

We will review your particular needs with you during your appointment.

The Tooth Extraction Process

At the time of extraction the doctor will need to numb your tooth, jaw bone and gums that surround the area with a local anesthetic.

During the extraction process you will feel a lot of pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal.

You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected.

If you do feel pain at any time during the extraction please let us know right away.

Sectioning a Tooth

Some teeth require sectioning. This is a very common procedure done when a tooth is so firmly anchored in its socket or the root is curved and the socket can’t expand enough to remove it. The doctor simply cuts the tooth into sections then removes each section one at a time.

Oral, Facial, and Dental Surgery Services

Surgeons Peter H. Kim, DDS; Serv S. Wahan, DMD, MD; Daniel T. Brady, DDS; and Dustin Altmann, DMD, Michael Gross, DMD, MD, provide a full scope of oral and maxillofacial surgery, from corrective jaw surgery and wisdom tooth removal to advanced dental implant and bone grafting procedures, as well as diagnosis and treatment of facial pain, facial injuries, and TMJ disorders. Our clinical team is highly trained in assisting with I.V. sedation in a modern, state-of-the-art office setting, so you can receive care comfortably and safely.
Surgeons Peter H. Kim, DDS; Serv S. Wahan, DMD, MD; Daniel T. Brady, DDS; and Dustin Altmann, DMD, provide a full scope of oral and maxillofacial surgery, from corrective jaw surgery and wisdom tooth removal to advanced dental implant and bone grafting procedures, as well as diagnosis and treatment of facial pain, facial injuries, and TMJ disorders. Our clinical team is highly trained in assisting with I.V. sedation in a modern, state-of-the-art office setting, so you can receive care comfortably and safely.
Dental Implants
Bone Grafting
Wisdom Teeth
Impacted Teeth
Facial Trauma
Tooth Extractions
Oral Pathology
Bone Growth Protein
3D Imaging
Anesthesia
Pre-Prosthetic Surgery
~ We are currently accepting new patients ~

Board-Certified Oral & Maxillofacial Surgeons in Washington State

What Our Patients’ Say

FAQs

What is pre-prosthetic surgery and why might I need it?

Pre-prosthetic surgery refers to procedures done to prepare the mouth before a dental prosthesis, such as a denture, is placed. It is recommended when the jawbone or gum tissue needs reshaping so the prosthesis can fit more comfortably and function properly.

Some patients are told they need pre-prosthetic surgery if the bone shape, ridges, or gum tissue in the mouth could interfere with the fit of a denture. This is determined during an evaluation, where your surgeon reviews your oral anatomy and discusses whether preparation is needed before moving forward.

Pre-prosthetic surgery can include smoothing or reshaping bone, removing excess bone or gum tissue, reducing prominent bone ridges, or exposing an impacted tooth. The specific procedure depends on your individual needs and the type of prosthesis being planned.

In some cases, teeth that cannot be saved may need to be removed as part of preparing the mouth for a denture. This helps create a healthier, more stable foundation for the prosthesis and can improve long-term comfort and fit.

The timing depends on the type of procedure performed and how your mouth heals. Your surgeon will review your specific situation and coordinate with your restorative provider so the next steps can be planned appropriately.

Local anesthetic is used to numb the area being treated so the procedure can be completed comfortably. You may still feel pressure during the process, which is normal. If you feel discomfort at any time, the surgical team can address it right away.

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