Virtual surgical planning for treatment of severe mandibular retrognathia with collapsed occlusion using contemporary surgical and prosthodontic protocols

J Oral Maxillofac Surg. 2013 Nov;71(11):1923-32. doi: 10.1016/j.joms.2013.06.216. Epub 2013 Aug 26.


Purpose: To meet functional and esthetic needs in an older adult for treatment of complex skeletal and dentoalveolar deformities using contemporary surgical and prosthodontic protocols.

Methods: An older adult with dentoalveolar complex and skeletal deformity (mandibular retrognathia) was treated by a combination of virtual planning and current surgical and prosthodontic protocols. Treatment planning steps and sequencing are presented.

Results: Skeletal, soft tissue, and dental harmonies were attained without biological or mechanical complications. Definitive oral rehabilitation was completed with a maxillary complete denture and a mandibular metal ceramic fixed implant-retained prosthesis.

Conclusions: A surgical and prosthodontic team approach in combination with technologic advances can predictably optimize esthetic and functional outcomes for patients with complex skeletal and dentoalveolar deformities.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Atrophy
  • Clinical Protocols
  • Computer-Aided Design
  • Dental Prosthesis, Implant-Supported
  • Denture, Complete, Immediate
  • Esthetics, Dental
  • Female
  • Humans
  • Imaging, Three-Dimensional / methods
  • Immediate Dental Implant Loading / methods
  • Jaw Relation Record / methods
  • Jaw, Edentulous, Partially / rehabilitation
  • Malocclusion, Angle Class II / rehabilitation
  • Malocclusion, Angle Class II / surgery*
  • Mandible / surgery*
  • Maxilla / pathology
  • Mouth Rehabilitation / methods*
  • Orthognathic Surgical Procedures / methods*
  • Osteotomy, Sagittal Split Ramus / methods
  • Patient Care Planning*
  • Patient Care Team
  • Retrognathia / rehabilitation
  • Retrognathia / surgery*
  • User-Computer Interface*