SOHRAH AJRIANISOHRAH AJRIANIJ111 04 064J111 04 064

A surgical procedure performed to A surgical procedure performed to smooth or smooth or recontourrecontour the alveolar bone, the alveolar bone, aiming to facilitate the healing aiming to facilitate the healing procedures as well as the successful procedures as well as the successful placement of a future prosthetic placement of a future prosthetic restorations.restorations.

Where the ridge is of a relatively Where the ridge is of a relatively regular contour and adequate height, regular contour and adequate height, but presents undercut on the depth of but presents undercut on the depth of labial vestibule because of the labial vestibule because of the configurations of the alveolar ridge. configurations of the alveolar ridge.

To accommodate a lower or upper To accommodate a lower or upper denture, the denture, the exostosesexostoses prevents the prevents the seating of denture and can cause irritation seating of denture and can cause irritation due to functional stresses upon denture.due to functional stresses upon denture.

To improve oral hygiene

OperatorOperator : Sohrah ajriani: Sohrah ajriani Assistants.. Assistants..

11stst : -: - 22ndnd : -: -

Patient’s.. Patient’s.. NameName : Hafsa: Hafsa AgeAge : 41 years old: 41 years old SexSex : Fe: Femalemale AddressAddress : Pampang: Pampang

Chief complaintsChief complaints : Maxllary : Maxllary anterioranterior DiagnosisDiagnosis : Multiple exostoses on : Multiple exostoses on

teeth teeth 1 14 13 12 114 13 12 11 21 22 23 24 21 22 23 24

Diagnostic setDiagnostic set 3 cc Syringe + Needle3 cc Syringe + Needle Local anesthetic solutions Local anesthetic solutions

[2 mL 2% Lidocain HCL + epinephrine][2 mL 2% Lidocain HCL + epinephrine]

a.a. SeldinSeldinb.b. FreerFreerc.c. No. 9 MoltNo. 9 Molt

Povidone IodinePovidone Iodine Saline SolutionsSaline Solutions Cotton rollsCotton rolls

Aseptic & Antiseptic ProtocolsAseptic & Antiseptic Protocols

Scrubbing upScrubbing up GlovesGloves GownGown FacemaskFacemask Protective glassesProtective glasses ShoesShoes

Disinfection ProtocolsDisinfection Protocols Local AnesthesiaLocal Anesthesia Incision along the alveolar ridge to Incision along the alveolar ridge to

cut the interdental papillae of the cut the interdental papillae of the gingiva, according to the exostoses gingiva, according to the exostoses regions. regions.

Reflection and elevation of Reflection and elevation of mucoperiosteal flap to expose the mucoperiosteal flap to expose the bone area to be recontouredbone area to be recontoured

Removal of the sharp bone edges Removal of the sharp bone edges with rongeours or bone bur.with rongeours or bone bur.

Smoothing of bone with a bone fileSmoothing of bone with a bone file

Irrigating the operation site using saline solutions.Irrigating the operation site using saline solutions. Closing and suturing the flap. The patient is Closing and suturing the flap. The patient is

scheduled for follow up in 2 weeks post-operatively.scheduled for follow up in 2 weeks post-operatively.

Slight bleeding

Swelling

Gauze Pack

Ice Packs

Pain

Infections Antibiotics

Analgesics

Diet Soft diet Not using straw

R/ Amoxycilin tab 500 mg No.XVR/ Amoxycilin tab 500 mg No.XV ∫ ∫ 3 dd 13 dd 1

R/ Asam meR/ Asam meffenamat enamat tab 500 mg No. tab 500 mg No. IXIX ∫∫ 3 dd 13 dd 1

R/ R/ BecomC tab 250 mg No. VBecomC tab 250 mg No. V ∫ ∫ 1 dd 11 dd 1

ProPro : Hafsa: HafsaAgeAge : 41 tahun: 41 tahunAddressAddress : Pampang: Pampang

Thank youThank you