Rehabilitation of Occlusion Using Orthognathic Surgery and Implant Placement in Partially Edentulous Patient with Mandibular Prognathism; Case Report

Abstract

Partially edentulous patient with an mandibular prognathism, as diagnosed by orofacial examination and radiographic finding visited in our hospital.

This patient needed orthognathic surgery for correction of jaw relationship and alveolar bone augmentation before implant treatment for severely atrophic edentulous mandible. After 9 months of preoperative orthodontic treatment, sagittal split ramus osteotomy was performed and autogenous bone graft was performed using cortical bone gained from osteotomy.

Grafted bone was protected with titanium mesh and fixed with micro screw. Post operative orthodontic treatment was performed for 9 momths. Titanium mesh was removed and implant fixture installation was performed .Prosthodontic treatment was carried out 5-6 months after implant placement. Oral function and facial esthetics were improved after total treatment, so we report this case with literature review.