PMC6032668_01
Facial profile at initial presentation.
CRID2018-8918673.001.jpg
PMC6032668_01_CRID2018-8918673.001.jpg
fig1
He has been reviewed regularly and he requested to have a replacement of his missing teeth on the lower left side due to a difficulty in eating and the effect on his appearance (Figure 1). Clinical examination reveals an asymmetrical face with a slightly depressed left lower body of the mandible on a class I skeletal pattern (Figures 1 and 2).
Coronal view profile at initial presentation.
CRID2018-8918673.002.jpg
PMC6032668_01_CRID2018-8918673.002.jpg
fig2
Clinical examination reveals an asymmetrical face with a slightly depressed left lower body of the mandible on a class I skeletal pattern (Figures 1 and 2).
Preoperative maxillary occlusal view.
CRID2018-8918673.003.jpg
PMC6032668_01_CRID2018-8918673.003.jpg
fig3
The dentition on the maxillary arch was unrestored (Figure 3).
Preoperative mandibular occlusal view, note the tongue occupying the edentulous area.
CRID2018-8918673.004.jpg
PMC6032668_01_CRID2018-8918673.004.jpg
fig4
This has caused the tongue to occupy the space that used to be occupied by teeth and alveolus in the left mandibular segment (Figures 4, 5, and 6).
Preoperative right buccal view at maximum intercuspation.
CRID2018-8918673.005.jpg
PMC6032668_01_CRID2018-8918673.005.jpg
fig5
This has caused the tongue to occupy the space that used to be occupied by teeth and alveolus in the left mandibular segment (Figures 4, 5, and 6).
Left buccal view at maximum intercuspation. Note the tongue occupying the edentulous space.
CRID2018-8918673.006.jpg
PMC6032668_01_CRID2018-8918673.006.jpg
fig6
This has caused the tongue to occupy the space that used to be occupied by teeth and alveolus in the left mandibular segment (Figures 4, 5, and 6). The healing of the operation site was uneventful (Figures 6 and 7).
Preoperative frontal view with teeth at maximum intercuspation.
CRID2018-8918673.007.jpg
PMC6032668_01_CRID2018-8918673.007.jpg
fig7
The healing of the operation site was uneventful (Figures 6 and 7).
Orthopantomogram.
CRID2018-8918673.008.jpg
PMC6032668_01_CRID2018-8918673.008.jpg
fig8
An orthopantomogram was taken to evaluate the remaining bony structure of the mandible (Figure 8).