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Prosthodontic and Surgical Management of a Completely Edentulous Patient with a Severe Class III Skeletal Maxillomandibular Relationship: A Clinical Report
Author(s) -
Ashy Linah M.,
Sukotjo Cortino
Publication year - 2013
Publication title -
journal of prosthodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.902
H-Index - 60
eISSN - 1532-849X
pISSN - 1059-941X
DOI - 10.1111/jopr.12049
Subject(s) - prosthodontist , medicine , sagittal plane , radiation treatment planning , orthodontics , dentistry , surgical planning , maxilla , surgery , radiology , radiation therapy
This article describes a multidisciplinary approach combining surgical and prosthodontic treatment of a completely edentulous patient who presented with a severe skeletal class III relationship and was diagnosed as American College of Prosthodontists Prosthodontic Diagnostic Index (ACP PDI) class IV. The use of a complete denture serving as diagnostic tool, surgical guide, and definitive restoration is presented. Computer‐aided surgical simulation was used to achieve an accurate diagnostic and surgical plan. Maxillary Lefort class I and mandibular sagittal split osteotomy surgical treatment was performed to correct arch discrepancy. The surgical procedure demonstrated a clinically acceptable maxillomandibular relationship and stability. The patient was satisfied with the esthetics and demonstrated improved oral function following prosthesis insertion.