Full-mouth rehabilitation by immediate implantation combined with orthognathic surgery: a clinical report

Hye-Rim Ahn; Ji-Ye Heo; Chul-Hoon Kim; Hee-Seong Hwang; Bok-Joo Kim

doi:10.4047/jkap.2016.54.1.57

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

CASE REPORT

J Korean Acad Prosthodont 2016;54(1):57-64.

Published online: 18 December 2016

DOI: https://doi.org/10.4047/jkap.2016.54.1.57

Full-mouth rehabilitation by immediate implantation combined with orthognathic surgery: a clinical report

Hye-Rim Ahn¹, Ji-Ye Heo¹, Chul-Hoon Kim², Hee-Seong Hwang¹, Bok-Joo Kim^2,^∗

^¹Department of Prosthodontics

^²Department of Oral and Maxillofacial Surgery, Implant Clinics, Dong-a University Medical Center, Busan, Republic of Korea

∗Corresponding Author: Bok-Joo Kim Department of Oral and Maxillofacial Surgery, Implant Clinics, Dong-a University, Medical Center, 26 Daesingongwon-ro, Seo-gu, Busan 49201, Republic of Korea +82 51 240 5475: e-mail, omsbjkim@dau.ac.kr

Received 29 July 201527 August 2015 Accepted 2 September 2015

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

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)

Keywords: Full-mouth rehabilitation, Immediate implant insertion, Early implant loading, Orthognathic surgery

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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.

Fig. 2.

Panoramic radiograph of patient before treatment.

Fig. 3.

(A) Initial lateral view of face, (B) Initial lateral cephalometric radiograph.

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.

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.

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.

Fig. 7.

Panoramic radiograph at definitive prostheses insertion.

Fig. 8.

(A) Final lateral view of face, (B) Final lateral cephalometric radiograph.

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))

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