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J Dent Rehabil Appl Sci. 2016 Mar;32(1):70-79. Korean. Case Report. https://doi.org/10.14368/jdras.2016.32.1.70
Choi YK , Kim YD , Park SB , Kim YI , Kim SS , Son WS .
Department of Orthodontics, Pusan National University Hospital, Busan, Republic of Korea. youngyng@hanmail.net
Department of Oral and maxillofacial surgery, School of Dentistry, Pusan National University, Yangsan, Republic of Korea.
Department of Orthodontics, School of Dentistry, Pusan National University, Yangsan, Republic of Korea.
Abstract

Patients who lost posterior teeth due to periodontitis or dental caries have collapsed vertical dimension, unstable occlusion and change of the mandibular position. In particular, patients in orthognathic surgery, clinician should re-establish the pre-operative stable position of mandibular condyle in articular fossa and favorable vertical dimension for high post-operative stability of mandible. Therefore, interdisciplinary approach and co-operation, including prosthetics, orthodontics, oral and maxillofacial surgeon, from diagnosis and treatment plan is important to get a good outcome. This case report was patients who had collapsed occlusal plane due to severe dental caries on maxillary molars with skeletal Class III malocclusion. Before orthognathic surgery, resetting of maxillary occlusal plane with temporary removable denture was performed. Then successful multidisciplinary approach was done and lead to acceptable clinical outcome.

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