Prosthognathic Rehabilitation of A Patient with Underlying Skeletal Discrepancy- A Case Report

Multidisciplinary Planning in Orthognathic Surgery for Prosthetic Patients

“…In this study, the multidisciplinary planning, and the orthognathic surgery of prosthetic patients with severe skeletal malformations of the maxillo-mandibular complex is described, especially those patients who hesitate in malocclusions of II or III Angle's dentalskeletal class and who present a total or partial edentulism or a fixed-type rehabilitation. According to Ashy et al, Siadat et al, and Jain et al's works [4,6,24], the procedure for the rehabilitation of patients who are totally or partially edentulous candidates for orthognathic surgery begins with surgical and orthodontic analyses through clinical and radiographic examinations. Firstly, temporary prostheses, designed according to the patient's natural occlusion, are manufactured.…”

“…The correction of malocclusions with severe skeletal deformity generally requires surgery, combined with orthodontic or prosthodontic treatment. Multiple decayed or missing teeth may increase the difficulty and duration of orthodontic treatment due to the lack of appropriate anchorage for tooth movement, especially in adult cases that present with multiple long-spanned prostheses [4]. The crucial element for successful orthognathic surgery in partially or completely edentulous patients is occlusal stability.…”

“…The correction of malocclusions with a severe skeletal deformity generally requires surgery combined with orthodontic or prosthodontic treatment. An orthodontic camouflage or a pure prosthetic treatment may result in an unsatisfactory, unstable, and irreversible outcome [4,5]. In cases of total or partial edentulism, a satisfactory reconstruction cannot be achieved via dental rehabilitation alone: to restore function and aesthetic balance, such patients require corrective jaw surgery.…”

“…In 1953, Van Alstine and Dingman described the treatment of prognathism in edentulous patients with an osteotomy of the body of the mandible, fixed with intraosseous sutures, and the use of acrylic splints, fixed with circumferential sutures, to place the mandible in a favourable position [8] (Figure 1). camouflage or a pure prosthetic treatment may result in an unsatisfactory, unstable, and irreversible outcome [4,5]. In cases of total or partial edentulism, a satisfactory reconstruction cannot be achieved via dental rehabilitation alone: to restore function and aesthetic balance, such patients require corrective jaw surgery.…”