DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20184366

Full mouth rehabilitation of Kennedy class 1 edentulous situation complicated with excessive deep bite: an interdisciplinary approach

Bhushan Kumar, A. Navin Kumar, Prabhdeep Kaur Sandhu

Abstract


Oral rehabilitation of bilateral mandibular edentulous posterior segments becomes even more difficult if patient had severe deep bite in natural dentition. This case report demonstrates the intelligent way of managing severe deep-bite by adapting multi-disciplinary approach. Involved steps are: Mandibular subapical osteotomy of mandibular anterior segment to lower down the fragment; secondly, the maxillary anteriors were done with crown lengthening followed by decreased incisal display and thirdly by restoring vertical dimension of occlusion by replacement of missing posterior teeth. The addition of surgical intervention (anterior mandibular osteotomy) in the present case has found to be effective and quick adjunctive in achieving functional improvement in occlusion by reducing anterior teeth overlap (deep bite), by decreasing incisal guidance steepness and esthetic display of anterior teeth. Bilateral edentulous situation was managed by precision attachment retained cast partial denture. A satisfactory functional and esthetic result was obtained.


Keywords


Anterior mandibular segmental osteotomy, Class II deep-bite, Kennedy class 1 edentulism, Crown lengthening

Full Text:

PDF

References


Boye T, Doyle P, McKeown F, Sandler J. Total subapical mandibular osteotomy to correct class 2 division 1 dento-facial deformity. J Cranio maxillofac Surg. 2012;40(3):238-42.

Ergun G, Yucel AS. Full-mouth rehabilitation of a patient with severe deep bite: A clinical report. J Prosthodont. 2014;23:406–11.

Eliades T, Hegdvedt AK. Orthodontic-surgical correction of a Class II, Division 2 malocclusion. Am J Orthod Dentofacial Orthop. 1996;110(4):351-7.

Ergun G, Bozkaya E. Full-mouth rehabilitation of Class II deep-bite patient: A 5-year clinical report. Eur J Dent. 2016;10(3):426-31.

Ali RM, Schache A, Walsh S, Sneddon K. Total mandibular subapical osteotomy: modification of the technique. Br J Oral Maxillofac Surg. 2009;46(7):629-30.

Park JU, Hwang YS. Evaluation of the soft and hard tissue changes after anterior segmental osteotomy of the maxilla and mandible. J Oral Maxillofac Surg. 2008;66(1):98-103.

Windchy AM, Morris JC. An alternative treatment with the overlay removable partial denture: A clinical report. J Prosthet Dent. 1998;79:249–53.

Asvanund C, Morgano SM. Restoration of unfavorably positioned implants for a partially endentulous patient by using an overdenture retained with a milled bar and attachments: A clinical report. J Prosthet Dent. 2004;91:6–10.

Davodi A, Nishimura R, Beumer J. An implant-supported fixed-removable prosthesis with a milled tissue bar and Hader clip retention as a restorative option for the edentulous maxilla. J Prosthet Dent.1997;78:212–7.

Abduo J, Lyons K. Clinical considerations for increasing occlusal vertical dimension: A review. Aust Dent J. 2012;57:2–10.