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Case Reports
. 2014 Mar;8(3):269-71.
doi: 10.7860/JCDR/2014/7570.4183. Epub 2014 Mar 15.

Prosthognathic rehabilitation of a patient with underlying skeletal discrepancy- a case report

Ashish R Jain  1 , James Antony Bhagat M  2 , Deepak Nallaswamy  3 , Vinod Narayanan  4 , Padma Ariga  5
Affiliations
Case Reports

Prosthognathic rehabilitation of a patient with underlying skeletal discrepancy- a case report

Ashish R Jain et al. J Clin Diagn Res. 2014 Mar.

Abstract

Vertical and anterioposterior maxillary excesses can be treated with a combination of orthopaedic functional appliances, orthodontics and surgery. Treatment varies according to the age, patient reports for treatment. In patients who are treated with either of the above mentioned treatment modalities, if they require prosthetic replacement on a later date, especially of anterior teeth, prosthetic treatment alone does not give an aesthetic outcome. A partially edentulous, elderly patient with underlying skeletal discrepancy (Class II Skeletal deformity) in relation to 12,11,21,22 was treated with a combination of orthognathic surgery and prosthetic rehabilltation. An orthognathic surgery (leforte I osteotomy) was performed to manage vertical maxillary excess, class II skeletal pattern of maxilla and increased lower third facial height. Dental compensations in the mandibular arch were decompensated surgically with lower subapical osteotomy. Prosthetic restorations of missing anterior teeth were done later, such that facial and dental aesthetics. The records showed that the results were stable 12 months after prosthognathic (prosthodontic and orthognathic) treatment. A team approach enabled the female patient in her fifth decade of life, to receive better function, aesthetics and increased quality of life. Doing prosthetic restorations in patients with underlying skeletal discrepancies may become a challenge , which should be achieved without compromising on final outcome, with a calculated risk benefit ratio.

Keywords: Fixed prosthesis; Orthognathic surgery; Prosthognathic.

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Figures

[Table/Fig-1a,b]:
[Table/Fig-1a,b]:
Pre-operative Photograph of a patient in frontal view during smile. Pre-operative Photograph of a patient in side view during smile
[Table/Fig-2]:
[Table/Fig-2]:
Intraoral Photograph of a patient in frontal view
[Table/Fig-3]:
[Table/Fig-3]:
Pre-operative lateral cephalogram of patient was obtained
[Table/Fig-4]:
[Table/Fig-4]:
Pre-operative orthopentomogram of patient was obtained
[Table/Fig-5]:
[Table/Fig-5]:
Extraoral photographs of a patient at various intervals in frontal view
[Table/Fig-6]:
[Table/Fig-6]:
Extraoral photographs of a patient at various intervals in lateral view
See this image and copyright information in PMC

References

    1. C Howley, N Ali, R Lee, S Cox. Use of the alar base cinch suture in Le Fort I osteotomy: is it effective? Br J Oral Maxillofac Surg. 2011;49(2):127–30. - PubMed
    1. A Stewart, RJ Edler. Efficacy and stability of the alar base cinch suture. . Br J Oral Maxillofac Surg. Epub 2011 Apr 13;49(8):623–6. - PubMed
    1. C Vincent, JM Mercier, JP Perrin, RH Khonsari. Stability of Le Fort I impaction osteotomies. Rev Stomatol Chir Maxillofac. 2012;113(2):76–80. - PubMed
    1. A Stenvik, TA Larheim, K Storhaug. Incisor and jaw relationship in 27 persons with osteogenesis imperfecta. Scand J Dent Res. 1985;93:56–60. - PubMed
    1. WH Bell. Revascularization and bone healing after anterior maxillary osteotomy : a study using rhesus monkey. J Oral Surg. 1969:27–249. - PubMed

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