A Rehabilitation of Missing Maxillary Anterior  Teeth in a Severe Skeletal Class III Malocclusion Patient Requiring Implants

Zethy Hanum Mohamed Kassim; Abdul Latif Abdul Hamid; Nadhirah Ghazali; Puvanendran Balasingham

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A Rehabilitation of Missing Maxillary Anterior Teeth in a Severe Skeletal Class III Malocclusion Patient Requiring Implants

Author: Zethy Hanum Mohamed Kassim ¹ ; Abdul Latif Abdul Hamid ² ; Nadhirah Ghazali ¹ ; Puvanendran Balasingham ³
Author Information

1. Restorative Department, Faculty of Dentistry, Universiti Teknologi MARA (UiTM), Sungai Buloh Campus, Selangor
2. Columbia Asia Medical Centre, Seremban, Negeri Sembilan
3. Private Practice, Pristine Dental Centre, Wilayah Persekutuan, Kuala Lumpur
Publication Type:Case Reports
Keywords: Class III malocclusion, Decompensation, Orthognathic, Implants, Prosthesis
From: Annals of Dentistry 2021;28(1):8-14
CountryMalaysia
Language:English
Abstract: Management of traumatic dental injuries (TDI) in a young patient may range from simple to complex. In a situation where teeth are lost, a reliable and conservative treatment option is an implant-supported fixed dental prosthesis (i-FDP), as this treatment option negates the need to prepare sound abutment teeth as in the case of conventional fixed bridges. However, the placement of implants is usually prosthetically driven to allow for a 3D functional and aesthetic restoration. In the presence of severe skeletal Class III malocclusion, treatment may incorporate pre-surgical orthodontic treatment, followed by jaw surgery to correct the skeletal discrepancies and finally post-surgical orthodontic treatment before the rehabilitation with implants. A multidisciplinary treatment approach in a stepwise manner is required to address the patient’s overall treatment needs. This case report presents a joint prosthodontics, orthodontics and oral maxillofacial surgical management of a young adult male patient with a Skeletal Class III malocclusion who required rehabilitation of avulsed missing anterior teeth sustained from childhood TDI. The severity of the skeletal relationship required a Le Fort I maxillary advancement and a bilateral sagittal split osteotomy for the setback of the mandible in combination with orthodontics for correction of malocclusion and arch relationship prior to implant placement. Correction of the malocclusion and jaw deformity allowed the functional and aesthetic rehabilitation of the missing teeth using an i-FDP.
Full text:9.2021my0137.pdf