Full mouth rehabilitation of class III patient with disharmonious occlusal plane: A case report

Hayeong Kim; Janghyun Paek; Kung-Rock Kwon; Ahran Pae

doi:10.4047/jkap.2016.54.4.451

Journal List > J Korean Acad Prosthodont > v.54(4) > 1034905

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Kim, Paek, Kwon, and Pae: Full mouth rehabilitation of class III patient with disharmonious occlusal plane: A case report

Case Report

J Korean Acad Prosthodont 2016;54(4):451-457.

Published online: NaN October 2016

DOI: https://doi.org/10.4047/jkap.2016.54.4.451

Full mouth rehabilitation of class III patient with disharmonious occlusal plane: A case report

Hayeong Kim, Janghyun Paek, Kung-Rock Kwon, Ahran Pae^∗

Department of Prosthodontics, School of Dentistry, Kyung Hee University, Seoul, Republic of Korea

∗Corresponding Author: Ahran Pae Department of Prosthodontics, School of Dentistry, Kyung Hee University, 26, Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Republic of Korea +82 (0)2 958 9340: e-mail, ahranp@khu.ac.kr

Received 8 July 201612 September 2016 Accepted 20 September 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Prosthodontic decision-making process is done through analysis of clinical information and mutual communication between patient and dentist. When opposing teeth are extruded due to missing tooth or tooth defects, selection of appropriate treatment plan and predictory prognosis can be complicated in functional rehabilitation. In case of severely disharmonious occlusal plane result from extruded teeth, re-establishment of the occlusal plane is required, if necessary via prudent evaluation. In this case, class III patient had unesthetic appearance and mastication discomfort caused by disharmonious occlusal plane due to severe extrusion. Through a structured diagnostic process, appropriate treatment plan was selected. Esthetic and functional results were obtained through from full mouth rehabilitation with re-establishment of the occlusal plane. (J Korean Acad Prosthodont 2016;54:451-7)

Keywords: Extrusion, Single denture, Occlusal plane, Full mouth rehabilitation

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Fig. 1.

Preoperative extraoral photograph & panoramic view. (A) Frontal view, (B) Lateral view (right side). Class III appearance is observed. (C) Panoramic view. Uneven occlusal plane.

Fig. 2.

Preoperative intraoral view showing uneven occlusal plane. (A) Occlusal view of maxilla, (B) Lateral view (right side). Extrusion of right upper molars. (C) Frontal view. Extrusion anterior teeth of mandible, (D) Lateral view (left side), (E) Occlusal view of mandible.

Fig. 3.

Interim prostheses. (A) Frontal view, (B) Occlusal view of maxilla, (C) Occlusal view of mandible.

Fig. 4.

Individual tooth tray.

Fig. 5.

Interocclusal record. (A) Bite block, (B) Centric relation record.

Fig. 6.

Full contour wax up. (A) Frontal view, (B) Occlusal view of mandible.

Fig. 7.

CAD-CAM procedure.

Fig. 8.

Wax denture of maxilla and final restoration of mandible.

Fig. 9.

Postoperative intraoral view. (A) Occlusal view of maxilla, (B) Lateral view (right side), (C) Frontal view, (D) Lateral view (left side), (E) Occlusal view of mandible.

Fig. 10.

Postoperative extraoral photograph & panoramic view. (A) Frontal view, (B) Lateral view. Improved facial profile is observed. (C) Panoramic view.

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