J Korean Acad Prosthodont.  2022 Oct;60(4):395-403. 10.4047/jkap.2022.60.4.395.

Digital workflow for prosthetic restoration in the pan facial fracture patient: A case report

• Kim SW
• Park GT
• Huh YH
• Park CJ
• Cho LR
• Ko KH

• KMID: 2534511
• DOI: http://doi.org/10.4047/jkap.2022.60.4.395

Abstract

In the fracture operation of pan facial fracture, there are many cases where the shape and position of the occlusal and oral structures are abnormally changed because the index for repositioning to the original position is insufficient. And trismus and gag reflex in patients with pan facial fractures increase the difficulty of dental treatment, and the difference in the position of the jaw bone makes it difficult to restore aesthetically and functionally. In this case, digital workflows for minimal intraoral work could be selected to reduce patient discomfort and the difficulty of dental treatment. This case is using a digital workflow from implant planning to final prosthesis production in a patient with acquired skeletal grade III, trismus, and gag reflex due to pan facial fracture 15 years ago. In this case report, the use of digital workflow in a patient who has difficulty in dental treatment was able to minimize patient discomfort and obtain esthetic and functionally appropriate results.

Keyword

Dental implants; Digital workflow; Gag reflex; Pan facial fracture; Trismus