Symmetry

Buttress removal

We smooth a bony thickening of the jaw so the future denture seats evenly and comfortably.

Buttress removal is the smoothing of a bony thickening on the jaw during preparation for prosthetics. An uneven bony contour stops a denture from seating snugly and evenly, and can rub the mucosa and cause sore spots. Under local anaesthesia the surgeon lifts the mucosa, precisely trims and levels the excess bone with a piezo device, then smooths the surface and sutures. This forms an even bony bed on which the denture sits stably and comfortably. Healing takes 2-3 weeks.

When to come

  • A bony thickening prevents the denture from seating.
  • An uneven bony contour of the jaw.
  • Rubbing or sore spots under a future denture.
  • Preparation for removable prosthetics.
  • Asymmetry or excess of the bony bed.

What's included

Examination and prosthetic planning

Together with the prosthodontist we assess the bony bed and identify areas that obstruct the denture.

Local anaesthesia

The operating area is fully numbed.

Mucosal flap

The surgeon carefully lifts the mucosa over the bony thickening.

Piezosurgical bone leveling

The piezo device precisely trims the excess bone without overheating and without injuring soft tissue.

Smoothing the bony bed

We level the surface so the mucosa lies flat and the denture seats snugly.

Sutures and follow-up

We suture; at the follow-up we assess healing and remove sutures if needed.

How the visit goes

  1. 1Examination and planning with the prosthodontist.
  2. 2Local anaesthesia.
  3. 3Lifting the mucosa.
  4. 4Piezosurgical bone leveling.
  5. 5Smoothing the bony bed.
  6. 6Suturing and follow-up.

Why it matters

  • The denture seats evenly and holds stably.
  • No more rubbing or sore spots from uneven bone.
  • Piezosurgery spares the soft tissue.
  • An even bed is the basis of a quality, long-lasting denture.

FAQ

Why remove the buttress before prosthetics?
Uneven bone stops a denture from seating snugly. Leveling makes the bed even — the denture holds stably and without rubbing.
Is it painful?
Under full local anaesthesia, no. Moderate discomfort is possible in the first days afterwards.
Why piezosurgery?
A precise bone cut without overheating and without soft-tissue trauma — more comfortable, faster healing.
How long is healing?
Usually 2–3 weeks, with gentle care prescribed for that period.
When can the denture be made afterwards?
After the bed has healed. The doctor sets the exact timing based on the tissue condition.

Preparing for prosthetics? We'll level the bony bed so your future denture seats evenly and comfortably.

Price

from 6 000