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Summary
This study details full denture prosthetic treatment for two patients with total edentation and prognathic malocclusion. Specific tooth placement strategies were used to achieve edge-to-edge occlusal contact and avoid cross-bite.
Area of Science:
- Dentistry
- Prosthodontics
- Oral Surgery
Background:
- Full denture prosthetic treatment addresses total edentation and complex malocclusions.
- Prognathic malocclusion presents unique challenges in achieving stable and functional occlusal schemes.
- Understanding patient-specific anatomy is crucial for successful prosthetic rehabilitation.
Observation:
- Two distinct cases of total edentation with prognathic malocclusion were analyzed.
- Case 1 exhibited tridimensional symptomatology including a prognathic mandible and closed mandibular angle.
- Case 2 presented vertical symptomatology with increased vertical dimension and a long mandible.
Findings:
- Treatment involved specific occlusal plane adjustments and tooth positioning to achieve edge-to-edge contact.
- Maxillary lingual cuspids and mandibular mesio-distal grooves were positioned on the inter-crest line in Case 1.
- Mandibular incisors and cuspids were lingually inclined in both cases to establish edge-to-edge occlusal contact and avoid cross-bite.
Implications:
- Tailored prosthetic treatment strategies are essential for managing complex edentulous cases with malocclusion.
- Precise tooth placement can prevent occlusal interferences and improve denture stability.
- These findings contribute to optimizing full denture outcomes in challenging patient populations.