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After tooth extraction, the alveolar ridge has a mean loss of width of 3.8 mm, and a height loss of 1.24 mm within six months. [1] This loss of bone volume, can cause a denture to be loose, or an inadequate amount of bone width to place an implant. [5] Historically, alveolar preservation was used to provide a base to retain conventional dentures.
[1] [2] After tooth extraction, the residual crest irregularities, undercuts or bone spicules should be removed, because they may result in an obstruction in placing a prosthetic restorative appliance. Recontouring can be made at the time of extraction or at a later time.
There has been a decline in both the prevalence and incidence of tooth loss within the last decades; [1] [2] people retain their natural dentition for longer. Nonetheless there is still a great demand for complete dentures as more than 10% of adults aged 50–64 are completely edentulous, with age, smoking status and socioeconomic status being significant risk factors. [2]
Dentures, one form of implant which can be attached to the alveolar region. As the rate of tooth loss in the population increases either due to early extraction, trauma, or other systemic diseases, the use of implant therapy has increased as a form of tooth replacement therapy.
Dentures can help people via: Mastication: chewing ability is improved by the replacement of edentulous (lacking teeth) areas with denture teeth.; Aesthetics: the presence of teeth gives a natural appearance to the face, and wearing a denture to replace missing teeth provides support for the lips and cheeks and corrects the collapsed appearance that results from the loss of teeth.
In order to obtain permission from patient for extraction of tooth, the dentist should explain that other treatment options are available, what is involved in the dental extraction procedure, the potential risks of the procedure and the benefits of the procedure. [2] The process of gaining consent should be documented in clinical notes. [2]
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