Implant treatment on anterior cross-bite of a patient who had orthognathic surgery 20 years ago
10.4047/jkap.2019.57.3.245
- Author:
Kwang Man PARK
1
;
Richard LEESUNGBOK
;
Suk Won LEE
Author Information
1. Department of Biomaterials & Prosthodontics, Kyung Hee University Dental Hospital at Gangdong, Seoul, Republic of Korea. sbykmw@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Skeletal Class III malocclusion;
Implant;
Plane system;
ARCUS Digma II;
Top-Down;
CAD/CAM Zirconia
- MeSH:
Alveoloplasty;
Dentition;
Female;
Follow-Up Studies;
Humans;
Malocclusion;
Middle Aged;
Orthognathic Surgery;
Prognathism;
Tooth;
Wounds and Injuries
- From:The Journal of Korean Academy of Prosthodontics
2019;57(3):245-253
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Orthognathic surgery of skeletal Class III malocclusion improves oral function and facial appearance. The greater amount of skeletal discrepancy, the greater amount of teeth movement required for decompensation, and this often causes pathological changes in periodontal tissue especially in lower anterior dentition. We made a Top-Down treatment plan with personalized analysis using Face Hunter, Plane System and ARCUS Digma II, in order to resolve severe mobility and cross-bite of lower anterior teeth for 49-year-old female patient who had undergone orthognathic surgery 20 years ago due to skeletal Class III malocclusion and mandibular prognathism. Lower anterior teeth were extracted and alveoloplasty was done. After healing of the wound, immediate loading was conducted immediately after implant placement. Final restorations were fabricated Zirconia using CAD/CAM, and inserted intraorally screw-retained type. During 6-month follow-up, no abnormal episodes of restorations were observed, and obtained satisfactorily both of functional and esthetic outcomes.
