Aspects of Orthodontic‐Prosthetic Rehabilitation of Dentofacial Anomalies

Abstract

Skeletal class III malocclusion is one of the most difficult dentofacial anomalies, characterized by deviation in the development of the mandible and maxilla in the sagittal plane, where the mandible is dominant in relation to the maxilla. In patients with class III malocclusion, anomalies in the dentoalveolar level and esthetic discrepancies are also frequent. The etiology of class III malocclusion is multifactorial due to the interaction of hereditary and environmental factors. Rehabilitation and treatment of malocclusion is one of the major goals of modern dentistry. This article presents the orthodontic-prosthetic therapy and rehabilitation of a 45-year-old patient with an abnormal occlusal vertical dimension and a skeletal class III malocclusion. The patient came to the clinic complaining about degraded esthetics and disordered functions of the orofacial region (functions of eating, swallowing, speech) and also pain in the temporomandibular joint. After the diagnosis was made, the patient was first referred to orthodontic treatment with fixed orthodontic appliances (self-ligating brackets system Rot 0.22). Upon completion of the orthodontic treatment, the patient was sent for further prosthetic treatment. Fixed prosthetic restorations were made in the upper and lower jaw, thus achieving a satisfactory result in terms of esthetics and function of the stomatognathic system.

Pre-prosthetic and prosthetic treatment of patients with injuries and orofacial anomalies: A case report

“…Kоd pаciјеnаtа sa ovom vrstom аnоmаliје često su kompro mitovane еstеtika i funkcija. [5][6][7] Еtiоlоgiја mаlоkluziја klаsе III је multifаktоriјаlnа zbоg intеrаkciје nаslеdnih i fаktоrа srеdinе. Ako su tu prisutne još i traume, tretman takvih poremećaja je jako komplikovan.…”

“…This complex anomaly is characterized by variations in the development of the mandible and maxilla in the sagittal plane, where the lower jaw is overde veloped in relation to the upper jaw. Patients with this malocclusion often have compromised functions 5 and aesthetics. 67 Etiology of Class III malocclusions is multifactorial, because of the interaction of hereditary and environmental factors.…”

Minimally Invasive Treatment of an Adult with Severe Pseudo Class III Malocclusion

“…Significant loss of tooth structure can result from attrition, abrasion, erosion, or abfraction . Restoration of the OVD in severely worn dentition to improve esthetics and function has been well documented . Most relevant studies have used full‐coverage or implant restorations to correct worn dentition and restore the OVD.…”