Prosthodontic and Surgical Management of a Completely Edentulous Patient with a Severe Class III Skeletal Maxillomandibular Relationship: A Clinical Report
Identifieur interne : 001540 ( Main/Exploration ); précédent : 001539; suivant : 001541Prosthodontic and Surgical Management of a Completely Edentulous Patient with a Severe Class III Skeletal Maxillomandibular Relationship: A Clinical Report
Auteurs : Linah M. Ashy [Arabie saoudite, États-Unis] ; Cortino Sukotjo [États-Unis]Source :
- Journal of Prosthodontics [ 1059-941X ] ; 2013-08.
Descripteurs français
- KwdFr :
- Adulte, Bouche édentée (), Bouche édentée (rééducation et réadaptation), Chirurgie assistée par ordinateur, Conception d'appareil de prothèse dentaire, Céphalométrie (), Dentisterie esthétique, Enregistrement des rapports intermaxillaires (instrumentation), Femelle, Humains, Malocclusion de classe III (), Ostéotomie de Le Fort (), Ostéotomie sagittale des branches montantes de la mandibule (), Planification des soins du patient, Prognathisme (), Prothèse dentaire complète, Rétrognathie (), Satisfaction du patient, Simulation numérique, Équipe soignante.
- MESH :
- rééducation et réadaptation : Adulte, Bouche édentée, Chirurgie assistée par ordinateur, Conception d'appareil de prothèse dentaire, Céphalométrie, Dentisterie esthétique, Enregistrement des rapports intermaxillaires, Femelle, Humains, Malocclusion de classe III, Ostéotomie de Le Fort, Ostéotomie sagittale des branches montantes de la mandibule, Planification des soins du patient, Prognathisme, Prothèse dentaire complète, Rétrognathie, Satisfaction du patient, Simulation numérique, Équipe soignante.
- Wicri :
- topic : Médecine dentaire, Logiciel.
English descriptors
- KwdEn :
- Adult, Adult orthodon orthognath surg, American college, Ashy, Assistant professor, Barium sulfate, Cephalometric, Cephalometric analysis, Cephalometric radiograph, Cephalometry (methods), Complete dentures, Computer Simulation, Dental medicine, Dentistry, Dentsply, Dentsply caulk, Denture, Denture Design, Denture, Complete, Diagnostic tools, Edentulous, Edentulous class, Edentulous patient, Esthetics, Dental, Female, Harvard school, Humans, Implant, Implant center, Intermediate interocclusal record, Interocclusal, Intraoral pictures, Jaw Relation Record (instrumentation), Kerr corp, Lefort, Malocclusion, Angle Class III (surgery), Mandibular, Mandibular cast, Mandibular implant overdenture treatment, Maxilla, Maxillary, Maxillary lefort, Maxillomandibular, Maxillomandibular relationship, Months postsurgery, Mouth, Edentulous (rehabilitation), Mouth, Edentulous (surgery), Multidisciplinary, Multidisciplinary approach, Multidisciplinary treatment, Orthodontic resin, Orthognathic surgery, Osteotomy, Osteotomy, Le Fort (methods), Osteotomy, Sagittal Split Ramus (methods), Patient Care Planning, Patient Care Team, Patient Satisfaction, Prognathism (surgery), Prosthesis, Prosthet dent, Prosthodontic, Prosthodontic treatment, Prosthodontics, Prosthodontist, Prosthodontists ashy, Radiograph, Restorative dentistry, Retrognathia (surgery), Sagittal, Sagittal split osteotomy, Semiadjustable articulator, Severe class, Skeletal condition, Skeletal maxillomandibular relationship, Software, Sukotjo, Sukotjo multidisciplinary treatment, Surg, Surgery, Computer-Assisted, Surgical, Surgical guide, Surgical management, Surgical outcome, Surgical plan, Surgical procedure, Surgical procedures, Surgical simulation, Surgical treatment, Treatment plan, Xation.
- MESH :
- instrumentation : Jaw Relation Record.
- methods : Cephalometry, Osteotomy, Le Fort, Osteotomy, Sagittal Split Ramus.
- rehabilitation : Mouth, Edentulous.
- surgery : Malocclusion, Angle Class III, Mouth, Edentulous, Prognathism, Retrognathia.
- Teeft :
- Adult, Adult orthodon orthognath surg, American college, Ashy, Assistant professor, Barium sulfate, Cephalometric, Cephalometric analysis, Cephalometric radiograph, Complete dentures, Computer Simulation, Dental medicine, Dentistry, Dentsply, Dentsply caulk, Denture, Denture Design, Denture, Complete, Diagnostic tools, Edentulous, Edentulous class, Edentulous patient, Esthetics, Dental, Female, Harvard school, Humans, Implant, Implant center, Intermediate interocclusal record, Interocclusal, Intraoral pictures, Kerr corp, Lefort, Mandibular, Mandibular cast, Mandibular implant overdenture treatment, Maxilla, Maxillary, Maxillary lefort, Maxillomandibular, Maxillomandibular relationship, Months postsurgery, Multidisciplinary, Multidisciplinary approach, Multidisciplinary treatment, Orthodontic resin, Orthognathic surgery, Osteotomy, Patient Care Planning, Patient Care Team, Patient Satisfaction, Prosthesis, Prosthet dent, Prosthodontic, Prosthodontic treatment, Prosthodontics, Prosthodontist, Prosthodontists ashy, Radiograph, Restorative dentistry, Sagittal, Sagittal split osteotomy, Semiadjustable articulator, Severe class, Skeletal condition, Skeletal maxillomandibular relationship, Software, Sukotjo, Sukotjo multidisciplinary treatment, Surg, Surgery, Computer-Assisted, Surgical, Surgical guide, Surgical management, Surgical outcome, Surgical plan, Surgical procedure, Surgical procedures, Surgical simulation, Surgical treatment, Treatment plan, Xation.
Abstract
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.
Url:
DOI: 10.1111/jopr.12049
Affiliations:
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<term>American college</term>
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<term>Assistant professor</term>
<term>Barium sulfate</term>
<term>Cephalometric</term>
<term>Cephalometric analysis</term>
<term>Cephalometric radiograph</term>
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<term>Complete dentures</term>
<term>Computer Simulation</term>
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<term>Implant</term>
<term>Implant center</term>
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<term>Interocclusal</term>
<term>Intraoral pictures</term>
<term>Jaw Relation Record (instrumentation)</term>
<term>Kerr corp</term>
<term>Lefort</term>
<term>Malocclusion, Angle Class III (surgery)</term>
<term>Mandibular</term>
<term>Mandibular cast</term>
<term>Mandibular implant overdenture treatment</term>
<term>Maxilla</term>
<term>Maxillary</term>
<term>Maxillary lefort</term>
<term>Maxillomandibular</term>
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<term>Mouth, Edentulous (surgery)</term>
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<term>Multidisciplinary approach</term>
<term>Multidisciplinary treatment</term>
<term>Orthodontic resin</term>
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<term>Osteotomy</term>
<term>Osteotomy, Le Fort (methods)</term>
<term>Osteotomy, Sagittal Split Ramus (methods)</term>
<term>Patient Care Planning</term>
<term>Patient Care Team</term>
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<term>Prosthet dent</term>
<term>Prosthodontic</term>
<term>Prosthodontic treatment</term>
<term>Prosthodontics</term>
<term>Prosthodontist</term>
<term>Prosthodontists ashy</term>
<term>Radiograph</term>
<term>Restorative dentistry</term>
<term>Retrognathia (surgery)</term>
<term>Sagittal</term>
<term>Sagittal split osteotomy</term>
<term>Semiadjustable articulator</term>
<term>Severe class</term>
<term>Skeletal condition</term>
<term>Skeletal maxillomandibular relationship</term>
<term>Software</term>
<term>Sukotjo</term>
<term>Sukotjo multidisciplinary treatment</term>
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<term>Surgery, Computer-Assisted</term>
<term>Surgical</term>
<term>Surgical guide</term>
<term>Surgical management</term>
<term>Surgical outcome</term>
<term>Surgical plan</term>
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<term>Bouche édentée (rééducation et réadaptation)</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Céphalométrie ()</term>
<term>Dentisterie esthétique</term>
<term>Enregistrement des rapports intermaxillaires (instrumentation)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Malocclusion de classe III ()</term>
<term>Ostéotomie de Le Fort ()</term>
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<term>Planification des soins du patient</term>
<term>Prognathisme ()</term>
<term>Prothèse dentaire complète</term>
<term>Rétrognathie ()</term>
<term>Satisfaction du patient</term>
<term>Simulation numérique</term>
<term>Équipe soignante</term>
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<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Jaw Relation Record</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Cephalometry</term>
<term>Osteotomy, Le Fort</term>
<term>Osteotomy, Sagittal Split Ramus</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Mouth, Edentulous</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Adulte</term>
<term>Bouche édentée</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Céphalométrie</term>
<term>Dentisterie esthétique</term>
<term>Enregistrement des rapports intermaxillaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Malocclusion de classe III</term>
<term>Ostéotomie de Le Fort</term>
<term>Ostéotomie sagittale des branches montantes de la mandibule</term>
<term>Planification des soins du patient</term>
<term>Prognathisme</term>
<term>Prothèse dentaire complète</term>
<term>Rétrognathie</term>
<term>Satisfaction du patient</term>
<term>Simulation numérique</term>
<term>Équipe soignante</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Malocclusion, Angle Class III</term>
<term>Mouth, Edentulous</term>
<term>Prognathism</term>
<term>Retrognathia</term>
</keywords>
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<term>Adult orthodon orthognath surg</term>
<term>American college</term>
<term>Ashy</term>
<term>Assistant professor</term>
<term>Barium sulfate</term>
<term>Cephalometric</term>
<term>Cephalometric analysis</term>
<term>Cephalometric radiograph</term>
<term>Complete dentures</term>
<term>Computer Simulation</term>
<term>Dental medicine</term>
<term>Dentistry</term>
<term>Dentsply</term>
<term>Dentsply caulk</term>
<term>Denture</term>
<term>Denture Design</term>
<term>Denture, Complete</term>
<term>Diagnostic tools</term>
<term>Edentulous</term>
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<term>Edentulous patient</term>
<term>Esthetics, Dental</term>
<term>Female</term>
<term>Harvard school</term>
<term>Humans</term>
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<term>Implant center</term>
<term>Intermediate interocclusal record</term>
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<term>Maxillary lefort</term>
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<term>Months postsurgery</term>
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<term>Prosthodontics</term>
<term>Prosthodontist</term>
<term>Prosthodontists ashy</term>
<term>Radiograph</term>
<term>Restorative dentistry</term>
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<term>Skeletal maxillomandibular relationship</term>
<term>Software</term>
<term>Sukotjo</term>
<term>Sukotjo multidisciplinary treatment</term>
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<front><div type="abstract">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.</div>
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