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[Implant-supported prosthesis in posterior crossbite].

Junro Yamashita1

  • 1University of Michigan, School of Dentistry, Ann Arbor, MI 48109, USA. yamashit@umich.edu

Nihon Hotetsu Shika Gakkai Zasshi
|April 26, 2008
PubMed
Summary

Skeletal class III malocclusion with missing posterior teeth can be treated with implant-supported prostheses. Establishing a cross-bite with implants provides a biomechanically sound solution for improved chewing function.

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Area of Science:

  • Dental Implantology
  • Orthodontics
  • Prosthodontics

Background:

  • Skeletal class III malocclusion presents challenges in chewing due to malaligned dental structures.
  • Posterior edentulism further compromises masticatory function and patient satisfaction.

Observation:

  • A patient with skeletal class III malocclusion and posterior edentulism experienced significant difficulty in chewing.
  • The goal was to enhance the patient's chewing ability and overall oral function.

Findings:

  • Implant-supported prostheses require careful force management due to the absence of periodontal mechanoreceptors.
  • Vertical loading of implants was prioritized by establishing a posterior cross-bite.
  • Meticulous occlusal adjustment guided chewing forces along the prosthesis axis.

Implications:

  • Establishing a cross-bite with implants in skeletal class III malocclusion cases is a biomechanically rational approach.
  • This technique offers a predictable treatment outcome for patients with complex malocclusions and edentulism.
  • Minimizing excess lateral force on implants through strategic placement and occlusal design prevents clinical complications.

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