A prominent osteomucosal ridge with a high smile line in the complete edentulous patient should not escape our vigilance during the clinical examination, as it may compromise the aesthetic result of prosthetic rehabilitation. This prominence will create insufficient prosthetic space, which makes it difficult or even impossible to assemble the anterior teeth. The aesthetic problem becomes even more complicated in the case of asymmetry of the osteomucosal defect. In such a situation, pre-prosthetic surgery is required. We will illustrate the management of such a similar clinical case, by proposing an appropriate therapeutic approach for better aesthetic and occlusive-functional result.
Esthetic and functional management of insuffisant prothetic space using a guided osteoplasty approach
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