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Abstract
Unlike class I patients, skeletal class II patients have unstable occlusion thus leading to instability of mandibular complete denture. Therefore, mandibular implant overdenture has been the standard of care due to its advantages in stability and retention. The types of attachments can be divided into two categories: solitary and bar type. The indications vary between two categories. In this clinical report, digital technology was utilized from the implant planning to the choice of appropriate attachment. Implants were placed at the desired location as previously planned in terms of angle and depth. Maxillary removable partial denture and mandibular implant overdenture are expected to have fair prognosis. (J Korean Acad Prosthodont 2019;57:364-73)
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Fig. 2.
Radiographic view. (A) Panoramic view, (B) Right temporomandibular joint, (C) Left temporomandibular joint.
Fig. 3.
Intraoral photographs. (A) Maxilla, (B) Right lateral, (C) Frontal, (D) Left lateral, (E) Mandible.
Fig. 4.
Model analysis showing existing conventional complete denture. (A) Frontal view, (B) Right lateral view, (C) Anterior teeth.
Fig. 5.
Esthetics and function were verified with interim prostheses. (A) Maxilla, (B) Right lateral, (C) Frontal, (D) Left lateral, (E) Mandible.
Fig. 9.
Application of surgical stent using (A) Superposition of CT data and analysis model, (B) Intra oral photograph surgical stent fixed with pins, (C) Post operative panoramic view.
Fig. 10.
(A) Face-bow transfer, (B) Mounting with mandibular temporary denture and maxillary occlusal rim to make maxillary fixed prostheses.
Fig. 11.
Preparing for impression. (A) Definitive fixed prostheses on maxilla, CM LOC abutment (B) on mandible connected with CM LOC Female (C).
Fig. 12.
Final impression taking (B, E) with individual tray (A, D) and definitive cast fabrication (C, F).
Fig. 13.
(A) Centric relation record, Evaluation of occlusal vertical dimension with (B) interim prostheses (C), occlusal rim.
Fig. 14.
Bilaterally balanced occlusion. (A) Left Lateral movement, (B) Centric occlusion, (C) Right Lateral movement.
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