Abstract
Young patients with hypodontia and skeletal Class III relation represent esthetic and psychological problems that require special attention. This includes surgical correction, which is unpredictable and increases the suffering of the patient. This abstract describes a novel treatment plan for such a case depending solely on prosthetic correction avoiding surgical intervention.
Background
A 16-year-old patient is referred to prosthodontic clinics due to difficulties in chewing and impaired esthetic. The reason behind that is the loss of normal developed teeth. The patient underwent orthognathic surgery beforehand.
Examination
The frontal view revealed an asymmetrical face with a depressed upper lip. There was a tendency to class III maxillary –mandibular relation. The conditions of the remaining teeth in the upper jaw were grade II mobility for the two upper primary centrals and the two upper primary canines, these teeth had no bone support.
Treatment Planning
The decision that includes the correction of the maxillary-mandibular relation by another surgery was excluded because of the patient’s previous surgery. The treatment plan that includes extraction of the remaining teeth, then replacing both arches with fixed bridges over implants was also discarded, because it was expensive and considered a long period procedure. Therefore, the removable denture is the best treatment for this case because it is cheap, feasible, and the least intensive procedure.
Conclusion
The prosthetic approaches can provide a less intensive treatment with less time consuming and good esthetic results for some hypodontia cases with jaw relation without exposing the patient to intensive surgery.