Journal List > J Korean Acad Prosthodont > v.54(1) > 1034908

Ahn, Heo, Kim, Hwang, and Kim: Full-mouth rehabilitation by immediate implantation combined with orthognathic surgery: a clinical report

Abstract

Clinical therapy that combines full-mouth rehabilitation with immediate implantation and orthognathic surgery poses a challenge to prosthodontists. This clinical report describes a multidisciplinary approach to the diagnosis and treatment of a patient presenting with skeletal discrepancy and rampant caries. The results thus achieved indicate that full-mouth rehabilitation by fixed immediate and early loading implantation accompanied by orthognathic surgery can be a predictable and effective treatment procedure. (J Korean Acad Prosthodont 2016;54:57-64)

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Fig. 1.
Intraoral photographs of patient before treatment. (A) Maxillary occlusal view, (B) Right side, (C) Frontal view, (D) Left side, (E) Mandibular occlusal view.
jkap-54-57f1.tif
Fig. 2.
Panoramic radiograph of patient before treatment.
jkap-54-57f2.tif
Fig. 3.
(A) Initial lateral view of face, (B) Initial lateral cephalometric radiograph.
jkap-54-57f3.tif
Fig. 4.
Diagnostic wax-up. The diagnostic wax-up was done in the ideal form. The occlusion was given canine guidance. (A) Right side, (B) Frontal view, (C) Left side.
jkap-54-57f4.tif
Fig. 5.
Intraoral photographs at provisional prostheses delivery. (A) Maxillary occlusal view, (B) Right side, (C) Frontal view, (D) Left side, (E) Mandibular occlusal view.
jkap-54-57f5.tif
Fig. 6.
Intraoral photographs at definitive prostheses delivery. (A) Maxillary occlusal view, (B) Right side, (C) Frontal view, (D) Left side, (E) Mandibular occlusal view.
jkap-54-57f6.tif
Fig. 7.
Panoramic radiograph at definitive prostheses insertion.
jkap-54-57f7.tif
Fig. 8.
(A) Final lateral view of face, (B) Final lateral cephalometric radiograph.
jkap-54-57f8.tif
Fig. 9.
Overall treatment procedure. The overall treatment period was 15 months, from December 2012 to March 2014. The B, C, E, and F periods represent indispensable time. However, the A period could be reduced by immediate loading, and the D period could be reduced by positioning implantsin the #32 and 42 extraction sockets. (A, D periods: variable time, black line; B, C, E, F periods: indispensable time, red line; M: month(s))
jkap-54-57f9.tif
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