Journal of Oral Implantology February 2012 - (Page 63)

CASE LETTER Full Mouth Rehabilitation With Dental Implants for a Patient With Skeletal Class III Malocclusion: A Case Report Sompop Bencharit, DDS, MS, PhD, FACP 1* Dale J. Misiek, DMD2 Linda A. Simon, DDS, MS3 Arabella Malone-Trahey, DDS, MS3 INTRODUCTION atients with skeletal class III malocclusion can present with complex dentoalveolar problems, including anterior endto-end or anterior and/or posterior cross-bite, resulting from maxillary retrognathism and mandibular prognathism.1,2 These problems may predispose patients to dental caries, periodontal disease, and edentulism,3,4 as well as adverse psychosocial effects.5 Prosthodontic treatments for this group of patients are challenged by the skeletal discrepancies of the maxilla and the mandible.6 A comprehensive multidisciplinary approach to treatment planning that involved prosthodontists, orthodontists, periodontists, and oral and maxillofacial surgeons is often necessary to ensure accurate diagnoses and appropriate treatments.6–10 P The case report describes a patient who had skeletal class III malocclusion with erosion and attrition of his maxillary teeth, several missing mandibular molars, and compromised periodontal support of remaining mandibular teeth. The patient underwent (1) orthodontic treatment and orthognathic surgeries to correct the skeletal discrepancy, (2) implant therapy to replace missing teeth and teeth with compromised periodontal support, and (3) full mouth rehabilitation to restore missing tooth structure and occlusion. CLINICAL REPORT Preoperative information and treatment planning A 42-year-old Caucasian male was referred from a local general dentist for evaluation and treatment. His chief complaint was, ‘‘I need my bite fixed and I cannot chew food properly.’’ The patient’s medical and dental histories were reviewed. No contraindication for dental treatment was identified. However, a few years ago, the patient was given the diagnosis of gastroesophageal reflux disease (GERD) and was treated with antacids and an H2 blocker (Prilosec). The patient’s dental problems include maxillary deficiency and mandibular prognathism (Figure 1). He Journal of Oral Implantology 63 1 Department of Prosthodontics, School of Dentistry and Department of Pharmacology, School of Medicine, University of North Carolina, Chapel Hill, NC. 2 Oral and Maxillofacial Surgeon, private practice, Charlotte, NC. Department of Oral and Maxillofacial Surgery, Louisiana State University Health Sciences Center, School of Dentistry, New Orleans, La. 3 Orthodontist, private practice, Concord, NC. *Corresponding authore-mail: Sompop_Bencharit@ dentistry.unc.edu. DOI: 10.1563/AAID-JOI-D-10-00032

Table of Contents for the Digital Edition of Journal of Oral Implantology February 2012

A Fluent Electronic Support and Clinical Care Letters: New Formats and More Interactivity Between Journal of Oral Implantology and Its Readers
Dental Implants Immediate Loading Versus the Standard 2-Staged Protocol: An Experimental Study in Dogs
Correlation Between Surface Hydrophilicity and Osteoblastic Differentiation on Microgrooved Titanium Substrata
Analyzing the Effects of the Platform-Switching Procedure on Stresses in the Bone and Implant-Abutment Complex by 3-Dimensional Fem Analysis
Detection of the Mandibular Canal and the Mental Foramen in Panoramic Radiographs: Intraexaminer Agreement
Use of Intraoral Welding to Stabilize Dental Implants in Augmented Sites for Immediate Provisionalization: A Case Report
Maxillary Sinus Augmentation With Autogenous Tibial Bone Graft as an In-Office Procedure
Influence of Prognostic Risk Indicators on Osseointegrated Dental Implant Failure: A Matched Case-Control Analysis
Full Mouth Rehabilitation With Dental Implants for a Patient With Skeletal Class III Malocclusion: A Case Report
Removal of Fractured Implants Using the Apicoectomy Technique and Immediate Replacement With New Implants: Case Report
Reconstruction of a Patient With Rosai-Dorfman Disease Using Ramus Graft and Osseointegrated Implants: A Case Report
Immediate Loading in Mandible Full-Arch: Pilot Study in Patients With Osteoporosis in Bisphosphonate Therapy
Natural Tooth Versus Implant: A Key to Treatment Planning

Journal of Oral Implantology February 2012