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.