Prosthodontic and Surgical Management of a Completely Edentulous Patient with a Severe Class III Skeletal Maxillomandibular Relationship: A Clinical Report |
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| Authors: | Linah M. Ashy BDS DMSC Cortino Sukotjo DDS PhD MMSc |
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| Affiliation: | 1. Assistant Professor, Removable Prosthodontics Division, Oral and Maxillofacial Rehabilitation Department, King Abdulaziz University, Faculty of Dentistry, , Jeddah, Saudi Arabia;2. Previously, resident and research fellow in Advanced Education in Prosthodontics, Department of Restorative and Biomaterial Sciences, Harvard School of Dental Medicine, , Boston, MA;3. Assistant Professor, Comprehensive Dental Implant Center, Department of Restorative Dentistry, University of Illinois at Chicago, College of Dentistry, , Chicago, IL |
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| Abstract: | This article describes a multidisciplinary approach combining surgical and prosthodontic treatment of a completely edentulous patient who presented with a severe skeletal class III relationship and was diagnosed as American College of Prosthodontists Prosthodontic Diagnostic Index (ACP PDI) class IV. The use of a complete denture serving as diagnostic tool, surgical guide, and definitive restoration is presented. Computer‐aided surgical simulation was used to achieve an accurate diagnostic and surgical plan. Maxillary Lefort class I and mandibular sagittal split osteotomy surgical treatment was performed to correct arch discrepancy. The surgical procedure demonstrated a clinically acceptable maxillomandibular relationship and stability. The patient was satisfied with the esthetics and demonstrated improved oral function following prosthesis insertion. |
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| Keywords: | PDI class IV completely edentulous surgical treatment class III skeletal |
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