Abstract
Abstract Objective: The objective of the study is to assess treatment success of teeth loss patients with class III skeletal malocclusion through a multidisciplinary approach, including orthognathic surgery and implant prosthetic rehabilitation. Materials and methods: The present retrospective study aimed at investigating the 5-year clinical treatments outcomes 16 patients with class III malocclusion and teeth loss. Clinical, laboratory, radiological methods were used in the examination of patients. Surgical stage included sagittal bilateral osteotomy of the lower jaw and reposition it back. Le Fort I osteotomy, 7-8 months after the orthognathic surgery 132 implants were inserted. After 2 to 4 months of submerged healing period patients had received implant-fixed prostheses. Results: No serious intraoperative or immediate postoperative complications were noted. At the control examination after 6 months after surgery, an X-ray examination we did not observe any clinical or radiological signs of inflammation in the area of osteotomy sites and titanium mini plates. Success rate of implants 5 years after was 96.2%. Conclusion: After orthognathic surgery and dental implant prosthetic rehabilitation, the masticatory function, esthetics of the facial profile and occlusion was improved. Patients expressed satisfaction with the result of treatment and improved quality of life.
Highlights
Malocclusion is one of the anomalies maxillofacial area
We evaluated the general condition of the patient, revealed the presence of complaints of pain in the region of the upper and lower jaws, Temporo Mandibular Joint (TMJ), and the presence of inflammatory phenomena in the area of dental implants and titanium mini plates
At the control examination 3 months after implant installation, after prosthesis loading, 1-year, 3-years, and 5 -years after implant installation, an X-ray examination was performed to determine the status of the osteotomy area, the status of dental implants, the mean marginal bone loss of implants (Table 1)
Summary
Malocclusion is one of the anomalies maxillofacial area. In 1899 Angle was the first who classified malocclusions into 3 types of Class I, Class II, and Class III [1]. Angle classifications of malocclusion based on the relationship of the first molars and the alignment (or lack of it) of the teeth relative to the line of occlusion. Class III malocclusion may present with various combinations of dentoalveolar problems [2].
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