Case series
At the Department of Oral and Maxillofacial Surgery, Copenhagen University Hospital, Rigshospitalet, we treated and followed four patients in two Danish families, in the period 1987 to 2019. The patients were initially referred from private dental practice, dental school and the public dental healthcare, all with functional and aesthetic problems, due to malocclusion and reduced chewing function caused by missing teeth and/or broken prosthetics.
Patient files and radiographs were reviewed concerning dental and craniofacial anomalies, likewise the treatment performed. Common to all patients was multiple agenesis and class III malocclusion due to hypoplastic and retrognathic maxillae. Considering treatment all patients were treated by a multidisciplinary team of surgeons, orthodontists and prosthodontists. Three out of four patients had a corrective Le Fort 1 osteotomy. All had bone augmentation from mandibular ramus or iliac crest simultaneously with placement of dental implants. After the healing period fixed oral rehabilitation was performed. In table 4 a full description of the patient’s clinical and radiographical manifestations and treatment is listed.
All patients were followed in the years after treatment, implant follow up between 1 and 13 years. Only one implant was lost prior to loading and the patient received a fixed dental bridge instead, due to the wish of patient of no further surgeries. All the patients are satisfied with the treatment both aesthetically and functionally. The patients are all presented as 4 separate cases with clinical and radiographic findings and follow up, see figure 1, figure 2, figure 3 and figure 4.