Full Mouth Rehabilitation With Dental Implants for a Patient With Skeletal Class III Malocclusion: A Case Report

Rehabilitation of an Extremely Edentulous Atrophic Maxilla with a Pseudoskeletal Class III Relationship

“…The analysis and management of the restorative space in edentulous patients with implant overdentures are important for the planning of implant placement and for the design of the denture [16, 19, 20]. To retain dentures in patients who have lost large segments of alveolar ridge, the use of clips or electroformed copings on the bars, horizontal path bar attachment systems, and locking attachment systems has been reported [5, 6, 14–22].…”

“…In older complete denture wearers, advanced jawbone atrophy simulates the clinical situation of a skeletal class III relationship combined with vertical alveolar bone loss; this condition is classified as pseudoskeletal class III. The true skeletal class III condition presents complex dentoalveolar problems, resulting from maxillary retrognathism and mandibular prognathism [5]. In such cases, rehabilitation presents a major challenge and multidisciplinary treatment is necessary.…”

“…In such cases, rehabilitation presents a major challenge and multidisciplinary treatment is necessary. The application of regenerative techniques to the soft and hard tissues, sinus augmentation, implant placement, and/or Le Fort I osteotomy (e.g., orthognathic surgery) is often required, necessitating the involvement of periodontists, prosthodontists, and orthodontists, as well as oral and maxillofacial surgeons [5–10]. In pseudoskeletal class III cases in aged persons, resulting from multiple tooth extractions and severe or advanced atrophy of the jawbone over time, rehabilitation is also a major problem due not only to high levels of discomfort in the surgical and postsurgical phases but also the reduced regenerative capacity of the soft and hard tissues in this population.…”

Maxillomandibular relationship record for implant complete mouth rehabilitation with elastomeric material and facial surface index of existing denture

“…[ 1 ] Following the reliable osseointegration is achieved; the sequential clinical steps including elastomeric impressions, maxillomandibular relationship (MMR) records, mounting of the MMR records onto the articulators, fabrication and try-in of the implant fixed restoration framework, verification of MMR records by taking another records, veneering of the metal framework with the ceramics or indirect composites are well-described in various clinical reports in the literature. [ 2 3 4 5 6 7 8 9 10 ] All these routine procedures have been carried out with few modifications and alternate techniques. Using patients existing denture for recording the MMR is one of the commonly used modification during recording the MMR.…”

Mock-Up Driven Designing Of Full-Mouth Implant-Supported Metal-Ceramic Fixed Prostheses

“…Following the reliable osseointegration is achieved; sequential application of the final impressions, maxillo-mandibular relation records, fabrication and try-in of the framework, confirmation of the maxillo-mandibular relation by using a second record and ceramic veneering of the framework; were mentioned as a classical protocol for such restorations [16][17][18][19][20][21][22][23][24][25][26][27][28]. However, in some circumstances the complex esthetic, functional and hygienic requirements of the total edentulism may not be addressed appropriately by employing the mentioned protocol.…”