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LASER
COSMETIC PROCEDURES
BONE
SURGICAL PROCEDURES
• Cutting, shaving, contouring and resection
of oral osseous tissues (bone
- the porous calcified substance from
which bones are made)
• Osteotomy
Oral
implants for original entry and re-entry
procedures have implant portions that
are positioned in grooves in the bone
such that they are submergible below
the upper rim of the bone. A post assembly
for immediate installation of an artificial
tooth structure may be detachably corrected
to the implant portion. Alternatively,
a cap may be attached and covered by
tissue. Once the bone has grown over
the implant portion, except in the area
of the cap, the tissue is reopened and
the cap is replaced by the post. In
narrow bone areas the implant portion
is a blade with a snap-on cap. In broad
bone areas, the implant portion is box
shaped and has a screw on post. If desired,
the artificial tooth structure may be
detachably connected to the post assembly
for easy removal.
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Osteotomy
An
osteotomy is a precision surgical cut
into bone. The word comes from osteo
meaning bone and -otomy meaning to cut.
This procedure is commonly used in Dentistry
to prepare the jaw bone for placing
dental implants. Osteoplasty is performed
to change the outside shape of bone
and does not enter inside the jaw.
A dental implant osteotomy forms a precision
hole in the bone that exactly matches
the shape of the implant being inserted.
It is done using a slow speed dental
hand piece with specially designed bone
cutting burs. Several burs are used
with increasing diameters so that the
hole in gradually enlarged without burning
or damaging the surrounding jaw bone.
Most dentists use cool saline to irrigate
the bone while carefully preparing the
site.
The osteotomy should not cut into the
roots of the adjacent teeth and should
stay in the bone. Without careful planning
and design, the preparation can go through
the bottom of the bone out into the
soft tissue. This can cause constant
aggravating pain. In the maxillary posterior
area, the preparation can go into the
maxillary sinus. In the maxillary anterior
area, the preparation can accidentally
go into the base of the nose. Careful
planning is essential.
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