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Mert posted an update
Hello everyone I’m Mert, an Oral Surgeon from Turkiye. Just popped in to ask a question for now, can anyone give me some pointers or a source with alveolar crest reduction for AOX, I’m having problems making the crest parallel and flat. Especially the parallel part, sometimes I can’t make it a straight line and have to do touch ups very often.
Ivan and dtberat_dds2 Comments-
Hi there @mertkrc Great to have you here man! Have you used denture duplicate with an alveoplasty guide marked on there? They are a very easy way to approximate how much bone reduction needs to be done.
I usually use a large round bur to level out the bone. I like to use a steriilized pencil to mark the bone to help me keep a good reference for reduction. Also you can take a 57 bur and make markings in the bone as a reference for how much to reduce.
Also, 3D printed alveoplasty guides work well too, but may be more expensive.
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I like using a fox plane. Then I check its parallel to the inter pupillary line and Frankfort horizontal plane. Make sense? I also like using a pear shaped bur for this b/c the lingual cortical plate tends to be more dense and higher so the larger end of the bur does more work on this area first.
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