Vestibuloplasty in a patient with hypertension

Inadequate attachment and multiple high frenums in the edentulous ridge enhance the instability of complete denture removal. Preprosthetic surgeries, such as vestibuloplasty was performed before making the prosthetic making. Many techniques can be used to perform a vestibuloplasty; however, in this chapter, conventional technology surgery without a graft was chosen due to the patient's systemic condition. This chapter aims to demonstrate the use of vestibuloplasty surgery in a patient with hypertension. High attachments were lowered to maintain stable buccolabial flanges to complete the removable denture. A 60-year-old female patient with stage II hypertension underwent conventional vestibuloplasty. Blood pressures were kept in a normal condition before surgery, and the surgery was done twice to minimize the massive open wound. The non-adrenalin anesthetic was used to maintain blood pressure during surgery. Conventional vestibuloplasty can give high good results, and it is still one treatment of choice for the patients with a systemic condition.