|
KMID : 1004520100260030359
|
|
Journal of Dental Rehabilitation and Applied Science
2010 Volume.26 No. 3 p.359 ~ p.371
|
|
|
Full mouth Rehabilitation with Orthognathic Surgery in Facial Asymmetry Patient : Case Report
|
|
Im So-Min
Shin Hyung-Joo
Park Chan-Jin
Kim Dae-Gon
Cho Lee-Ra
|
|
|
Abstract
|
|
|
Facial asymmetry has been found with a higher frequency (70~84%) in skeletal class III malocclusion patients.
Anticipating the poor prognosis of prosthesis due to malocclusion, occlusal stability must be obtained by orthodontic
treatment. Moreover, orthodontic surgery would be needed in some severe cases for better functional and esthetic results.
The orthognathic surgery is performed on one jaw or two jaw depending on the results of facial diagnosis. Genioplasty
may change the vertical, horizontal, sagittal position of chin by osteotomy or augmentation using implants, also.
This case is about a 24 year-old male patient who visited our clinic to solve the facial asymmetry and mandibular
prognathism. Skeletal class III malocclusion, maxillary canting and menton deviation to left by 13 mm were detected.
Multiple ill-fitting prostheses, unesthetic maxillary anterior prostheses, and several dental caries were found. After
pre-operative orthodontic treatment, Le-Fort I osteotomy, sagittal split ramus osteotomy, genioplasty, right mandibular angle augmentation were done for the correction of jaw relation and asymmetry. By diagnostic wax-up after post-operative
orthodontic treatment, maxillary full mouth rehabilitation and mandibular posterior restorations were planned out. For better
result, clinical crown lengthening procedure was done on #11, 12 and implant was placed on left mandibular first molar
area. The patient was satisfied with the final prostheses. Because of his high caries risk, long-term prognosis will depend
on the consistent maintenance of oral hygiene and periodic follow-up.
|
|
|
KEYWORD
|
|
|
Facial asymmetry, Full mouth rehabilitation, Genioplasty, Multi-disciplinary treatment, Pre-operative orthodontics
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
|
|