PMC2938635_01
Pre-operative photograph of the patient showing the characteristic faecies
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On examination, the patient had frontal bossing and sunken cheeks with thick everted lips [Figure 1].
Pre-operative intraoral photograph showing absence of both upper and lower alveolus and complete anodontia
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On intraoral examination, there was complete absence of teeth along with absence of both upper and lower alveolus [Figure 2].
Three dimensional skull model of the patient used to assess the height and the width of the required upper and lower alveolus
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In the first stage, upper alveolar reconstruction was planned using vascularised free fibula graft. 3D skull models with blocks of modeling wax were used to assess the height, width and length of the required alveolus [Figure 3].
Postoperative intraoral photograph showing the overdentures
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In third stage, dental rehabilitation was carried out using overdentures for both maxilla and mandible [Figures 4 and 5]. The patient recovered well and is very happy, both functionally and aesthetically [Figures 4 and 6].
Postoperative OPG showing the reconstructed upper and lower alveolus (free fibula) and the dental implants
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F0005
In third stage, dental rehabilitation was carried out using overdentures for both maxilla and mandible [Figures 4 and 5].
Postoperative photograph of the patient
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The patient recovered well and is very happy, both functionally and aesthetically [Figures 4 and 6].