J Korean Acad Prosthodont.  2019 Oct;57(4):439-447. 10.4047/jkap.2019.57.4.439.

Full mouth rehabilitation using orthodontic treatment and implants in patient with collapsed occlusion: A case report

• Ahn A
• Koak JY
• Heo SJ
• Kim SK

• KMID: 2461152
• DOI: http://doi.org/10.4047/jkap.2019.57.4.439

Abstract

The distance between the natural teeth and the implants is an important factor in preserving the periodontal tissues and esthetics. And abnormal positional displacement and tilting of the teeth during restorative procedure may require intentional root canal treatment and may affect masticatory function. This report is to present a successful full mouth rehabilitation of a patient with uneven dentition and collapsed occlusion using orthodontic and implant treatment. The patient had no symptoms or discomfort of temporomandibular joint disorder such as pain or sound. The orthodontic treatment was continued until implant provisional prosthesis delivery. And the vertical height of occlusion was elevated 2mm on anterior basis for anterior teeth protection and esthetics. After the orthodontic treatment, the implant abutments and natural teeth were finally restored with porcelain-fused-to-metal crowns and bridges. Satisfactory function and esthetic outcomes are observed after 6months of follow up.

Keyword

Full mouth rehabilitation; Dental implant prostheses; Teeth arrangement; Occlusal vertical dimension

MeSH Terms

Crowns
Dental Pulp Cavity
Dentition
Esthetics
Follow-Up Studies
Humans
Mouth Rehabilitation*
Mouth*
Prostheses and Implants
Temporomandibular Joint Disorders
Tooth

Figure

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  Fig. 1 Intraoral photograph & diagnostic model before treatment. (A) Maxillary, (B) Right, (C) Frontal, (D) Left, (E) Right of the diagnostic model, (F) Mandibular, (G) Left of the diagnostic model.

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  Fig. 2 Tooth examination. (A) Examination chart of maxilla, (B) Intraoral radiographs, (C) Examination chart of mandible.

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  Fig. 3 Radiographic evaluation before treatment. (A) Panoramic radiograph, (B) TMJ panoramic view.

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  Fig. 4 Orthodontic treatment. (A) Frontal view with clear orthodontic aligner (4th step), (B) 1st RP model, (C) Final RP model.

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  Fig. 5 Implant installation with surgical guide. (A, D) CT guided implant surgery with surgical guide, (B) After primary surgery of Maxilla, (C, F) After implant 1st surgery, (E) Panoramic radiograph after implant surgery.

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  Fig. 6 Diagnostic wax up model. (A) Right, (B) Frontal, (C) Left.

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  Fig. 7 Prosthetic procedure. (A) Custom abutment delivery, (B, C) Abutment level impression (maxillary, mandibular), (D) Metal coping try-in, (E) Porcelain build up and glazing.

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  Fig. 8 Definitive prosthesis. (A) Upper, (B) Right, (C) Frontal, (D) Left, (E) Panoramic photograph after delivery, (F) Lower, (G) TMJ panoramic view after delivery.

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