Open Access, Peer-reviewed, Quarterly
pISSN 0301-2875
eISSN 2005-3789
    J Korean Acad Prosthodont. 2018 Jan;56(1):50-55. Korean.
    Published online Jan 29, 2018.
    https://doi.org/10.4047/jkap.2018.56.1.50
    © 2018 The Korean Academy of Prosthodontics
    Case Report

    Complete denture of a skeletal class III patient with occlusal scheme in consideration: A case report

    Soeun Lim, Kung-Rock Kwon, Kwantae Noh and Janghyun Paek
      • Department of Prosthodontics, School of Dentistry, Kyung Hee University, Seoul, Republic of Korea.
    • Corresponding Author: Janghyun Paek. Department of Prosthodontics, School of Dentistry, Kyung Hee Uniiversity, 26, Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Republic of Korea. +82 (0)2 958 9340: Email: paek217@gmail.com
    Received July 26, 2017; Revised August 21, 2017; Accepted August 29, 2017.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Occlusal disharmony is frequently observed among edentulous patients. When artificial teeth come into contact, the unfavorable displacing force may lead to the discomfort, mucosal trauma, or even neuromuscular alterations and emotional disturbances. An optimal occlusal scheme is a critical factor for successful complete dentures. For this case, an edentulous patient with significant interarch size discrepancy due to mandibular prognathism contributing to inadequate function of dentures was treated with complete dentures. The posterior cross-bite tooth setup for compensating the abnormal jaw relations provided a stable and retentive complete denture prosthesis, which was considered adequate by both patient and dentist.

    Keywords
    Complete denture; Denture design

    Figures

    Fig. 1
    Pre-operative extraoral photographs. (A) Frontal view, (B) Lateral view.

    Fig. 2
    Intraoral photographs showing severely resorbed edentulous ridges. (A) Maxilla, (B) Mandible, (C) Enlarged tongue.

    Fig. 3
    A severe interach discrepancy due to skeletal class III relationship with madibular prognathism was observed. (A) Lateral cephalometric radiograph, (B) Mounted diagnostic cast.

    Fig. 4
    Provisional denture tooth setup. (A) Frontal view, (B) Lateral view.

    Fig. 5
    (A) Maxillary border molding on the provisional denture, (B) Molded labial contour.

    Fig. 6
    Denture teeth set up using index. (A) Maxilla, (B) Mandible.

    Fig. 7
    Post insertion intraoral view in occlusion. (A) Frontal view, (B) Lateral view.

    Fig. 8
    Post insertion extraoral photographs. (A) Frontal smile view, (B) Lateral view.

    References

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    MeSH Terms
    Affective Symptoms
    Dentists
    Denture Design
    Denture, Complete*
    Dentures
    Humans
    Jaw
    Prognathism
    Prostheses and Implants
    Tooth
    Tooth, Artificial
    Metrics
    Share
    Figures
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