Full mouth rehabilitation of skeletal class II patient with regaining occlusal vertical dimension: a case report
10.4047/jkap.2024.62.4.304
- Author:
Junghyun PARK
1
;
Seoung-Jin HONG
;
Janghyun PAEK
;
Kwantae NOH
;
Ahran PAE
;
Kung-Rock KWON
;
Hyeong-Seob KIM
Author Information
1. Department of Dentistry, Graduate School, Kyung Hee University, Seoul, Republic of Korea
- Publication Type:CASE REPORTS
- From:The Journal of Korean Academy of Prosthodontics
2024;62(4):304-316
- CountryRepublic of Korea
- Language:English
-
Abstract:
Class II malocclusions present with a different occlusal pattern to patients with Class I malocclusions, characterized by a large overjet and overbite in the anterior region, resulting in habitual mandibular protrusion during speech or mastication. When rehabilitating Class II patients, it is important to consider lateral and anterior guidance, to ensure balanced posterior guidance during protrusive movements before anterior contact, and to establish freedom in the intercuspal position. In this case, digital tools were used for the full-mouth rehabilitation of a skeletal class II patient. A virtual patient was created using facial scan data, digital facebow transfer and jaw motion tracking. Provisional restorations were fabricated based on the virtual patient. After identifying occlusal interference during anterior movement with the first provisional, the virtual patient was updated and the occlusal design was refined. For the final restorations, the virtual patient was updated again to reflect the functionally and esthetically satisfactory provisional restorations and their adapted occlusion. This digital approach facilitated accurate replication of the dynamic occlusal relationships, resulting in functionally and esthetically successful outcomes.
