P Veerendra Nath Reddy, K Rekha Rani, B Manisha, Preeti Arya, Chaitanya Golla
Edentulous alveolar ridge is a vital structure regardless of tooth presence or absence. Anatomic changes will invariably take place affecting dimensions of edentulous ridge following dental extractions. Ridge augmentation is the norm, but in this case report ridge reduction was performed due to excess vertical height of the ridge. A 21year old male, presented with missing maxillary central and lateral incisors due to trauma. The aim was to restore the missing teeth with a fixed partial denture, as the patient was unwilling for the implant procedure.On clinical examination, there was increased vertical dimension at occlusion (VDO) for the placement of prosthesis. Therefore, after full thickness flap elevation, about 4mm of buccal and lingual cortical plate was excised using piezosurgery preserving the vital structure at the surgical site. Primary closure of the flap was attained with 3-0 silk sutures.