V. Alveolar process and alveolar bone

C. CLINICAL CONSIDERATIONS


C. Clinical considerations

1.    Through remodeling, the alveolar bone may become displaced in relation to the remaining alveolar process, thereby allowing tooth movement to take place.

2.    Interruptions in the continuity of the lamina dura in the apical region of an alveolus are of diagnostic significance in the radiographic identification of periapical lesions.

3.    Proximity of the alveolar bone to sinus cavities or major nerves (mandibular nerve) may create problems during tooth extraction or surgical interventions.

4.    Following tooth extraction, the alveolar process tends to resorb, a development that may compromise the placement of endosseous dental implants and affect the construction of removable prostheses.

5.     Placement of dental implants in the alveolar process, prior to its becoming resorbed, following tooth extractions, will markedly decrease the rate of ridge resorption.

6.     Fenestrations may convert to dehiscences which, in turn, may lead to gingival recession.  Surgical interventions may promote the conversion of fenestrations into dehiscences, as well as the creation of new fenestrations and dehiscences in the presence of thin bony plates.


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Created: May 8, 1999  Revised:
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Max A. Listgarten: Comments to author: max@listgarten.com
(Technical Support: TU Department of Dental Informatics: Heiko Spallek)
Temple University