J Korean Acad Prosthodont.  2024 Jan;62(1):28-37. 10.4047/jkap.2024.62.1.28.

Prosthetic full mouth rehabilitation of patient with mandibular prognathism and asymmetry: a case report

• Lim J
• Lee HJ
• Kim JE

• KMID: 2551306
• DOI: http://doi.org/10.4047/jkap.2024.62.1.28

Abstract

Severe cases of mandibular prognathism can be treated with orthodontic therapy or surgical correction, but there are situations where only prosthetic improvement is possible. An understanding of class III patients is needed, including a vertical chewing pattern and the absence of anterior guidance. Additionally, it is relatively easy to increase occlusal vertical dimension to correct the anterior crossbite, but this approach can sometimes lead to unfavorable results, necessitating careful diagnosis and treatment planning. In this case report, oral rehabilitation was conducted in a patient with mandibular prognathism and asymmetry, utilizing implants and fixed dental prosthesis. Through a step-by-step treatment approach, the existing occlusal vertical dimension was maintained, and the final fixed dental prosthesis restoration was completed. Accordingly, it shows functional and aesthetically appropriate results, and reports on the patient’s diagnosis and treatment process.

Keyword

Implant; Malocclusion; Mandibular asymmetry; Mandibular prognathism; Mouth rehabilitation