title: Oral rehabilitation of an edentulous patient using two-segment le fort I repositioning and implant-supported fixed prostheses.
abstract: Anteroposterior (AP) deficiencies present a restorative treatment challenge. Complex, multidisciplinary planning is necessary for the success of the treatment. This clinical report describes an approach to managing a complex complete oral rehabilitation of an edentulous patient with skeletal transverse and AP deficiencies with a history of facial trauma to the left zygomaticomaxillary complex. This was further complicated by a hopeless remaining dentition and pneumatization of the maxillary sinuses. Treatment included initial bony augmentation of the vertically and horizontally deficient maxilla, dental implant placement, provisional restoration in a Class III malocclusion with bilateral posterior crossbite, and Le Fort I osteotomy with transverse widening and advancement to correct the skeletal deficiency. Definitive restoration was accomplished with implant-supported fixed prostheses that provided ideal facial balance and occlusion.
authors.affiliation: Department of Oral Health and Rehabilitation, University of Louisville, School of Dentistry, Louisville, Kentucky 40202, USA. tamer.abdelazim@louisville.edu
authors.forename: Tamer
authors.initials: T
authors.lastname: Abdel-Azim
authors.forename: Joseph
authors.initials: J
authors.lastname: Fantuzzo
authors.forename: Guido
authors.initials: G
authors.lastname: Batalocco
authors.forename: Stephen
authors.initials: S
authors.lastname: Cho
authors.forename: Carlo
authors.initials: C
authors.lastname: Ercoli
authors.forename: Dean
authors.initials: D
authors.lastname: Morton
mesh_terms: D016301:Alveolar Bone Loss / Q000534:rehabilitation; D000539:Alveolar Process / Q000294:innervation; D003758:Dental Implantation, Endosseous / Q000379:methods*; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported; D005260:Female; D006801:Humans; D007085:Ilium / Q000637:transplantation; D008313:Malocclusion, Angle Class III / Q000534:rehabilitation*; D008437:Maxilla / Q000601:surgery; D008443:Maxillary Sinus / Q000601:surgery; D008875:Middle Aged; D009066:Mouth, Edentulous / Q000534:rehabilitation*; D009296:Nasal Cavity / Q000033:anatomy & histology; D019340:Osteotomy, Le Fort / Q000379:methods*; D010155:Palatal Expansion Technique
chemical_list: D015921:Dental Implants