Fig. 4.4 Post-treatment intraoral images.
Her upper archwire was taken out, and then local anesthetic was administered. A sulcular incision was performed from the right first molar region to the left first molar region. When the full thickness mucoperiosteal envelop flap was elevated, the nodular osseous area could be observed. The bone growth was smoothed in line with all of the osteoplasty principles using a carbide bur and copious irrigation. A histopathological analysis of the bone that had been removed was performed. It had a thick trabecular bone that was consistent with the preliminary ABE diagnosis. Sling sutures were used to trim and reposition the flap (Figs. 4.1-4.4; 5.1-5.3). The patient also received postoperative instructions and medication with non-steroidal anti-inflammatory drugs (NSAIDs) and prophylactic antibiotics.
The patients’ postoperative pain and recovery were assessed after 10 days and found to be uneventful. Braces were debonded and oral hygiene recommendations were emphasized. In the following month, follow-up appointments to assess periodontal problems were scheduled.