A surgical procedure performed to smooth

or recontour the alveolar bone, aiming to

facilitate the healing procedures as well as
the successful placement of a future
prosthetic restorations.

Radicals
Transeptal

*Deans
intercortical
*Obwergers
intercortical

Where the ridge is of a relatively regular

contour and adequate height, but
presents undercut on the depth of labial
vestibule because of the configurations of
the alveolar ridge.

To accommodate a lower or upper

denture, the exostoses prevents the
seating of denture and can cause irritation
due to functional stresses upon denture.

To improve oral hygiene

Operator
Assistants..
1st
2nd
Patients..
Name
Age
Sex
Address
Chief complaints
Diagnosis

Nasyrah Hidayati
: Nur Huda Alimin
: Rosida Sani
:
:
:
:
:
:

Syamsul Bahar
45 years old
male
jl.kandea 3
Maxilla anterior
Multiple exostoses
on teeth 321 123

Diagnostic set
3 cc Syringe + Needle
Local anesthetic solutions
[2 mL 2% Lidocain HCL + epinephrine]

a.
b.
c.

Seldin
Freer
No. 9 Molt

 Povidone Iodine

Saline Solutions
Cotton rolls

Aseptic & Antiseptic Protocols

Scrubbing up
Gloves
Gown
Facemask
Protective glasses
Shoes

Disinfection Protocols
Local Anesthesia
Incision along the alveolar ridge to cut
the interdental papillae of the gingiva,
according to the exostoses regions.
Reflection and elevation of
mucoperiosteal flap to expose the bone
area to be recontoured

Removal of the sharp bone edges with

rongeours or bone bur.

Smoothing of bone with a bone file

Irrigating the operation site using saline solutions.

Closing and suturing the flap. The patient is
scheduled for follow up in 2 weeks post-operatively.

Slight bleeding

Gauze Pack

Swelling

Ice Packs

Pain

Analgesics

Infections

Antibiotics

Diet

Soft diet
Not using straw

R/ Amoxycilin tab 500 mg No.XV

3 dd 1
R/ Asam mefenamat tab 500 mg No. IX
3 dd 1
R/ BecomC tab 250 mg No. V
1 dd 1

Pro
Age
Address

: Syamsul Bahar
: 45 tahun
: jl. Kandea 3

Thank you