​​​​​​​Pre-Prosthetic Surgery

The preparation of your mouth before the placement of a denture (or 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 and stability. Since a dental prosthetic sits atop the bone ridge, that surface needs to be smooth. It must be of the proper shape and size. Pre-prosthetic surgery can be employed to mold the bone into the proper shape. Such procedures can include:

• Torus/Tori removal
• Tuberosity reduction
• Alveoplasty
• Removal of excess gum tissue

Pre-prosthetic surgery procedures are accomplished in complete comfort at our office. Dr. Shadi and Dr. Vahedi will discuss surgical and anesthetic options with you during your consultation appointment. When teeth are missing, the bone and soft tissue beneath the gums do not stay the same. Over time, the bony ridge that supports a denture or partial can become uneven, sharp, or irregular, making it difficult to achieve a secure, pain-free fit. If you are preparing to receive a partial or complete denture and the shape of your jaw requires adjustments first, pre-prosthetic surgery may be the right step to take before your prosthesis is placed. At Wilshire Oral Surgery and Implant Center, our team brings board-certified oral and maxillofacial surgical training to every procedure we perform. Dr. Jonathan R. Shadi and Dr. Saman Vahedi each completed their training at the University of Southern California and hold advanced credentials in oral and maxillofacial surgery. You can learn more about their backgrounds on our Meet Us page. Together, they will evaluate your jaw anatomy, review your restorative goals with your general dentist, and recommend only the procedures necessary to set you up for the best possible prosthetic outcome.

What Pre-Prosthetic Surgery Involves

Pre-prosthetic surgery is the name for a group of oral surgical procedures performed before a denture or other removable prosthesis is fitted. Because a prosthesis rests directly on the gum ridge and underlying bone, any irregularities in that foundation can lead to sores, loosening, and chronic discomfort. The goal is to reshape or smooth the tissues so that the finished prosthesis sits evenly, stays in place, and causes no pain during everyday use. According to published research in oral and maxillofacial surgery, proper pre-prosthetic preparation of the bony ridge is directly associated with improved prosthetic retention and stability for patients receiving dentures. You can read more about the evidence behind these procedures at the National Library of Medicine.

Pre-Prosthetic Procedures We Perform

Depending on your anatomy and your restorative plan, one or more of the following procedures may be recommended. Our surgeons will explain what is needed and why during your consultation. Not every patient requires all of these procedures. Our surgeons will perform a thorough examination to determine exactly what your situation calls for.

Benefits of a Well-Prepared Jaw

Taking the time to prepare the supporting tissues before a prosthesis is placed can have a meaningful impact on your long-term comfort and confidence. Common benefits include less movement and slipping during eating and speaking, fewer pressure sores from an uneven bone surface, a more natural bite, and greater confidence when smiling or speaking in public.

Sedation and Anesthesia Options

Pre-prosthetic procedures are accomplished with your comfort as the first priority. Local anesthesia is used routinely for minor soft tissue and bone contouring. For patients who prefer a more relaxed experience, IV sedation or general anesthesia is available in our office. You will have a full discussion about your options at your consultation.

What to Expect at Your Consultation and Beyond

Your first step is a consultation with one of our oral surgeons. We will review your dental records, take any necessary imaging, and discuss what you are hoping to achieve. If pre-prosthetic surgery is recommended, we will coordinate with your general dentist or prosthodontist so that everyone involved in your care is aligned on timing and sequencing. Most pre-prosthetic procedures are minor and carry a straightforward recovery. You will receive detailed post-operative instructions before you leave our office, and our team is available to answer any questions that come up during healing.

Schedule Your Pre-Prosthetic Surgery Consultation in Los Angeles

Dr. Shadi and Dr. Vahedi have the surgical training and the Los Angeles roots to guide you through every step of preparing for your prosthesis. Whether you need minor bone contouring or a more involved procedure, our team will give you the information you need to move forward with confidence. To get started, request an appointment online or call our office at (310) 846-8978. We look forward to helping you build the foundation for a comfortable, stable smile.