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

2016 ◽  
Vol 54 (4) ◽  
pp. 451
Author(s):  
Hayeong Kim ◽  
Janghyun Paek ◽  
Kung-Rock Kwon ◽  
Ahran Pae
Author(s):  
Mahmoud Serag ◽  
Heba Ismail ◽  
Joseph Zichella

This case report describes the correction of a skeletal Class III malocclusion by performing alveoloplasty and All-on-four styletitanium/acrylic (hybrid) fixed/detachable implant supported prosthesis.  A 76-year-old Hispanic,female patient with a noncontributory medical history presented to the clinic with a chief complaint of “I cannot wear my upper partial denture, it keeps on breaking”. Intraoral examination revealed significant inter-arch Class III relation, supra-erupted mandibular dentition, and significant loss of the vertical dimension of occlusion. Surgical treatment included edentulation of the patient in addition to a significant mandibular alveoloplasty in order to correct the patient’s malocclusion prosthetically. Through proper planning and execution, a skeletal Class III relationship was corrected with an implant supported All-on-four maxillary/mandibular prostheses. An edge-to-edge incisal relationship was achieved along with an appropriate vertical dimension of occlusion. The preplanning protocol allowed determination of the required alveoloplasty in order to obtain sufficient restorative space to allow for the correction of the skeletal malocclusion prosthetically.


2018 ◽  
Vol 7 (2) ◽  
pp. 56-59
Author(s):  
Dharma Laxmi Basukala

Skeletal Class III with openbite is one of the most difficult malocclusion to treat orthodontically. Generally, the morphological characteristics of this malocclusion are poor antero-posterior growth of the maxilla or excessive growth of the mandible with high angle. An 18-year-old male had Class III malocclusion with retrognathic maxilla and normal mandible with high angle. All third molars except on fourth quadrant were extracted to eliminate the posterior crowding. Multiloop Edgewise Arch-wire (MEAW) technique was used to upright the mesially inclined buccal teeth and to correct occlusal plane. In nine month time,  anterior cross bite and open bite were corrected; normal overjet, overbite and Class I canine relation were achieved.


2012 ◽  
Vol 38 (1) ◽  
pp. 63-70 ◽  
Author(s):  
Sompop Bencharit ◽  
Dale J. Misiek ◽  
Linda A. Simon ◽  
Arabella Malone-Trahey

2019 ◽  
pp. 24-28
Author(s):  
Rahul Patil ◽  
Omkar Shetty

Full mouth rehab is an extremely challenging procedure. It needs proper planning and thorough knowledge about the steps involved in the procedure. The patient’s occlusal plane has to be restored in harmony with the tmj and the prosthesis which is to be fabricated. An instrument called the “Occlusal plane analyzer” is used to assist the Prosthodontist in the development of an initial mandibular occlusal plane that is commensurate with the curve of Spee when posterior restorations are designed in diagnostic casts and later as an integral of definitive restorations as well as guidelines for the actual tooth preparations. After complete examination of the reported case, it was planned for full mouth rehabilitation. Pankeymann philosophy was planned to be used for rehabilitation. Bopa being one of the important steps as per the philosophy for restoration of mandibular posterior teeth, it was discussed in detail. The article demonstrates the making and use of a custom made broad rickocclusal plane analyser (bopa) on a semi adjustable articulator to determine the correct orientation of the occlusal plane. Key Words – clear acrylic guide, anterior survey point (A.S.P), posterior survey point (P.S.P), central survey point (C.S.P).


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