International Journal of Prosthodontics and Restorative Dentistry

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VOLUME 10 , ISSUE 1 ( January-March, 2020 ) > List of Articles

Original Article

Oral Rehabilitation of Patients with Angle Class III Malocclusion and Teeth Loss through a Multidisciplinary Approach, Including Orthognathic Surgery and Implant Prosthetic Rehabilitation

Hakobyan Gagik, Khachatryan Levon, Khachatryan Grigor, Tunyan Gegham

Keywords : Implant prosthetic rehabilitation, Orthognathic surgery, Skeletal class III malocclusion

Citation Information : Gagik H, Levon K, Grigor K, Gegham T. Oral Rehabilitation of Patients with Angle Class III Malocclusion and Teeth Loss through a Multidisciplinary Approach, Including Orthognathic Surgery and Implant Prosthetic Rehabilitation. Int J Prosthodont Restor Dent 2020; 10 (1):12-20.

DOI: 10.5005/jp-journals-10019-1262

License: CC BY-NC 4.0

Published Online: 01-03-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: The aim 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 investigated 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, from 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 after 5 years was 96.2%. Conclusion: After orthognathic surgery and dental implant prosthetic rehabilitation, the masticatory function, esthetics of the facial profile, and occlusion were improved. Patients expressed satisfaction with the result of treatment and improved quality of life.


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