title: Prosthodontic and surgical management of a completely edentulous patient with a severe class III skeletal maxillomandibular relationship: a clinical report.
abstract: This article describes a multidisciplinary approach combining surgical and prosthodontic treatment of a completely edentulous patient who presented with a severe skeletal class III relationship and was diagnosed as American College of Prosthodontists Prosthodontic Diagnostic Index (ACP PDI) class IV. The use of a complete denture serving as diagnostic tool, surgical guide, and definitive restoration is presented. Computer-aided surgical simulation was used to achieve an accurate diagnostic and surgical plan. Maxillary Lefort class I and mandibular sagittal split osteotomy surgical treatment was performed to correct arch discrepancy. The surgical procedure demonstrated a clinically acceptable maxillomandibular relationship and stability. The patient was satisfied with the esthetics and demonstrated improved oral function following prosthesis insertion.
authors.affiliation: Oral and Maxillofacial Rehabilitation Department, King Abdulaziz University, Faculty of Dentistry, Jeddah, Saudi Arabia.
authors.forename: Linah M
authors.initials: LM
authors.lastname: Ashy
authors.forename: Cortino
authors.initials: C
authors.lastname: Sukotjo
mesh_terms: D000328:Adult; D002508:Cephalometry / Q000379:methods; D003198:Computer Simulation; D003779:Denture Design; D003824:Denture, Complete; D004955:Esthetics, Dental; D005260:Female; D006801:Humans; D007574:Jaw Relation Record / Q000295:instrumentation; D008313:Malocclusion, Angle Class III / Q000601:surgery*; D009066:Mouth, Edentulous / Q000534:rehabilitation* / Q000601:surgery; D019340:Osteotomy, Le Fort / Q000379:methods; D059229:Osteotomy, Sagittal Split Ramus / Q000379:methods; D010347:Patient Care Planning; D010348:Patient Care Team; D017060:Patient Satisfaction; D011378:Prognathism / Q000601:surgery; D063173:Retrognathia / Q000601:surgery; D025321:Surgery, Computer-Assisted
keywords: PDI class IV; class III skeletal; completely edentulous; surgical treatment