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Volume 28 , Issue 2
March/April 2013

Pages e106e111

Oral Rehabilitation of an Edentulous Patient Using Two-Segment Le Fort I Repositioning and Implant-Supported Fixed Prostheses

Tamer Abdel-Azim, DDS/Joseph Fantuzzo, DDS, MD/Guido Batalocco, DDS/Stephen Cho, DDS/Carlo Ercoli, DDS/Dean Morton, BDS, MS

PMID: 23527367
DOI: 10.11607/jomi.2575

Anteroposterior (AP) deficiencies present a restorative treatment challenge. Complex, multidisciplinary planning is necessary for the success of the treatment. This clinical report describes an approach to managing a complex complete oral rehabilitation of an edentulous patient with skeletal transverse and AP deficiencies with a history of facial trauma to the left zygomaticomaxillary complex. This was further complicated by a hopeless remaining dentition and pneumatization of the maxillary sinuses. Treatment included initial bony augmentation of the vertically and horizontally deficient maxilla, dental implant placement, provisional restoration in a Class III malocclusion with bilateral posterior crossbite, and Le Fort I osteotomy with transverse widening and advancement to correct the skeletal deficiency. Definitive restoration was accomplished with implant-supported fixed prostheses that provided ideal facial balance and occlusion. Int J Oral Maxillofac Implants 2013;28:e106e111. doi: 10.11607/jomi.2575

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