title: Virtual surgical planning for treatment of severe mandibular retrognathia with collapsed occlusion using contemporary surgical and prosthodontic protocols.
abstract: OBJECTIVE
  To meet functional and esthetic needs in an older adult for treatment of complex skeletal and dentoalveolar deformities using contemporary surgical and prosthodontic protocols.
  
  
  METHODS
  An older adult with dentoalveolar complex and skeletal deformity (mandibular retrognathia) was treated by a combination of virtual planning and current surgical and prosthodontic protocols. Treatment planning steps and sequencing are presented.
  
  
  RESULTS
  Skeletal, soft tissue, and dental harmonies were attained without biological or mechanical complications. Definitive oral rehabilitation was completed with a maxillary complete denture and a mandibular metal ceramic fixed implant-retained prosthesis.
  
  
  CONCLUSIONS
  A surgical and prosthodontic team approach in combination with technologic advances can predictably optimize esthetic and functional outcomes for patients with complex skeletal and dentoalveolar deformities.
authors.affiliation: Assistant Professor, Mayo Clinic College of Medicine; Resident, Division of Prosthetic and Esthetic Dentistry, Department of Dental Specialties, Mayo Clinic, Rochester, MN. Electronic address: dhima.matilda@mayo.edu.
authors.forename: Matilda
authors.initials: M
authors.lastname: Dhima
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Salinas
authors.forename: Kevin L
authors.initials: KL
authors.lastname: Rieck
mesh_terms: D000368:Aged; D001284:Atrophy; D002985:Clinical Protocols; D017076:Computer-Aided Design; D019094:Dental Prosthesis, Implant-Supported; D003825:Denture, Complete, Immediate; D004955:Esthetics, Dental; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D057893:Immediate Dental Implant Loading / Q000379:methods; D007574:Jaw Relation Record / Q000379:methods; D007576:Jaw, Edentulous, Partially / Q000534:rehabilitation; D008312:Malocclusion, Angle Class II / Q000534:rehabilitation / Q000601:surgery*; D008334:Mandible / Q000601:surgery*; D008437:Maxilla / Q000473:pathology; D009065:Mouth Rehabilitation / Q000379:methods*; D056948:Orthognathic Surgical Procedures / Q000379:methods*; D059229:Osteotomy, Sagittal Split Ramus / Q000379:methods; D010347:Patient Care Planning; D010348:Patient Care Team; D063173:Retrognathia / Q000534:rehabilitation / Q000601:surgery*; D014584:User-Computer Interface