Total edentation restoration with removable complete dentures. Atypical teeth arrangement

Abstract

Introduction: Total edentation is a handicap concerning the functional masticatory aspect, as well as the socio-psychological one, with a negative impact on the quality of life. The prognathism condition is characterized by an enlarged mandible, an increased mandibular angle and arch of the circle of the sigmoid notch, and masticatory and phonetic disturbances. Our goal is to restore the intermaxillary relation, occlusal aspect, physiognomy, stability and retention with complete dentures in a pacient with accentuated mandible prognathism (class III malocclusion). Methods: We used an atypical teeth arrangement in order to downgrade the class III malocclusion to class II, with transitional removable complete denture. Results: We achieved the occlusal restoration, the improvement of the physiognomy, masticatory and phonetic functions. Also, the integration of the removable complete denture was attained. Discussions: In arranging the teeth atypically, our goal was to to enhance the intermaxillary relation. The correct use of anthropometric points was observed. The complete denture specially designed for this case restored the correct vertical dimension of the occlusion, restoring the pacient s physiognomy. Also, the arrangement permitted us the improving the masticatory function. Because abnormal jaw relations lead to difficulty in pronunciation of the ‘S’ sound, we aimed to improve the pacient’s phonetics.