This catabolic process can be counteracted by the placement of implants. Immediately after extraction, the socket will suffer a reduction in the dimensions both in buccolingual and apicocoronal aspects. The last few decades have witnessed an escalating interest in preprosthetic surgery, which has harboured the development of many new techniques. Surgery has always been an integral part of the preparation of alveolar ridges for dentures. Beers in 1876 advocated excision of the alveolus after extraction of teeth, especially if the alveolar process is unusually exhibiting protuberance. Willard is honoured to be the first American dentist to call attention to proper preparation of the mouth for full dentures. Pre-prosthetic surgery has emerged from being virtually unknown, passed through a period of opposition and into a state of venerability, and has ultimately made a powerful impact on oral surgery and prosthetic dentistry alike.Ī meticulously nurtured and evolved repertoire of ingenious salvage procedures is now alarmingly threatened by a populist ‘implants-first’ belief that usurps, rather than expands, the traditional prosthodontic treatment spectrum. Preprosthetic surgery encompasses a distinguished and evolving category of soft and hard tissue procedures. The management of discontented denture patients by the act of preprosthetic surgical procedures to enhance the denture- bearing areas of the intraoral cavity is a daunting task, which has been performed by the oral and maxillofacial surgeon from time immemorial.
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