title: Prosthodontic treatment of a retrognathic edentulous maxilla demonstrating limited interarch distance: 3.5-year results with fixed and removable implant prostheses.
abstract: The prosthodontic treatment of patients with a retrognathic edentulous maxilla should consider the restoration of the lower facial profile and access for oral hygiene. This clinical report describes prosthodontic treatments of a patient with edentulism who presented with repeated fractures of the denture teeth of a maxillary implant-supported complete fixed dental prosthesis (ICFDP) and a mandibular implant-supported overdenture. Considerable plaque accumulation was noted on the ICFDP, which was replaced with an open palatal design implant-supported overdenture. However, the patient experienced difficulty managing the 2 removable prostheses. The patient's mandible was eventually restored with a milled titanium alloy framework ICFDP with metal occlusal surfaces. This combined approach of fixed and removable prostheses was stable at 3.5-year follow-up appointment, without compromising the patient's oral hygiene or comfort.
authors.affiliation: Clinical Professor, Department of Biologic and Materials Sciences Division of Prosthodontics, Ann Arbor, Mich.
authors.forename: Won-Suk
authors.initials: WS
authors.lastname: Oh
authors.affiliation: Clinical Assistant Professor, Department of Biologic and Materials Sciences Division of Prosthodontics, Ann Arbor, Mich.
authors.forename: Furat
authors.initials: F
authors.lastname: George
authors.affiliation: Professor, Department of Prosthodontics, Chonbuk National University School of Dentistry, Jeonju, Republic of Korea. Electronic address: jmpark@jbnu.ac.kr.
authors.forename: Ju-Mi
authors.initials: JM
authors.lastname: Park
mesh_terms: D000369:Aged, 80 and over; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D003828:Denture, Overlay; D005500:Follow-Up Studies; D006801:Humans; D007575:Jaw, Edentulous / Q000601:surgery*; D008297:Male; D008334:Mandible; D008437:Maxilla / Q000601:surgery; D009909:Oral Health; D017060:Patient Satisfaction