J Korean Acad Prosthodont.  2018 Jan;56(1):50-55. 10.4047/jkap.2018.56.1.50.

Complete denture of a skeletal class III patient with occlusal scheme in consideration: A case report

• Lim S
• Kwon KR
• Noh K
• Paek J

• KMID: 2402987
• DOI: http://doi.org/10.4047/jkap.2018.56.1.50

Abstract

Occlusal disharmony is frequently observed among edentulous patients. When artificial teeth come into contact, the unfavorable displacing force may lead to the discomfort, mucosal trauma, or even neuromuscular alterations and emotional disturbances. An optimal occlusal scheme is a critical factor for successful complete dentures. For this case, an edentulous patient with significant interarch size discrepancy due to mandibular prognathism contributing to inadequate function of dentures was treated with complete dentures. The posterior cross-bite tooth setup for compensating the abnormal jaw relations provided a stable and retentive complete denture prosthesis, which was considered adequate by both patient and dentist.

Keyword

Complete denture; Denture design

MeSH Terms

Affective Symptoms
Dentists
Denture Design
Denture, Complete*
Dentures
Humans
Jaw
Prognathism
Prostheses and Implants
Tooth
Tooth, Artificial

Figure

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  Fig. 1 Pre-operative extraoral photographs. (A) Frontal view, (B) Lateral view.

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  Fig. 2 Intraoral photographs showing severely resorbed edentulous ridges. (A) Maxilla, (B) Mandible, (C) Enlarged tongue.

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  Fig. 3 A severe interach discrepancy due to skeletal class III relationship with madibular prognathism was observed. (A) Lateral cephalometric radiograph, (B) Mounted diagnostic cast.

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  Fig. 4 Provisional denture tooth setup. (A) Frontal view, (B) Lateral view.

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  Fig. 5 (A) Maxillary border molding on the provisional denture, (B) Molded labial contour.

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  Fig. 6 Denture teeth set up using index. (A) Maxilla, (B) Mandible.

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  Fig. 7 Post insertion intraoral view in occlusion. (A) Frontal view, (B) Lateral view.

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  Fig. 8 Post insertion extraoral photographs. (A) Frontal smile view, (B) Lateral view.

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