PMC7232725_01
Mandibular prognathism with depressed nasal bridge and frontal prominence.
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In extraoral examination, the prominent frontal and parietal, hypertelorism, depressed nasal bridge, mandibular prognathism, and maxillary hypoplasia were observed (Figure 1).
Approximation of shoulders in front of the chest.
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Also, the patient was able to move shoulders in front of the chest associated with underdeveloped or absent collarbone (Figure 2).
Panoramic radiograph before treatment.
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A panoramic radiograph and CBCT were captured (Figures 3 and 4).
CBCT revealed 21 impacted teeth in mandible and 9 in maxilla.
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A panoramic radiograph and CBCT were captured (Figures 3 and 4).
Intraoral photograph before prosthodontic treatment.
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On the other hand, the tooth #26, 27, and 46 were saved due to their stable conditions, increasing the retention and support of the removable partial prosthesis (Figure 5).
Panoramic radiograph 3 months after teeth extraction.
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Interior (a) and exterior (b) surfaces of maxillary and mandibular removable partial denture.
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Afterwards, acrylic resin partial dental prostheses were processed from heat-polymerized acrylic resin (Kulzer, Germany) with a heat-cured permanent silicone soft liner (silicone based detax, Germany) and delivered (Figures 7(a) and 7(b) and 8).
Final adjustment of mandibular (a) and maxillary (b) prostheses.
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An appointment was scheduled after a week for the final adjustment (Figures 9(a) and 9(b)).