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.