다수의 치아 상실과 협착된 상악궁을 동반한 골격성 II급 성인 환자의 협진 치료

Multidisciplinary Approach for an Adult Patient with Skeletal Class II, Multiple Teeth Missing and Constricted Maxilla

This case report presents a multidisciplinary approach involving periodontal, orthodontic, and prosthetic treatment in an adult patient who presented skeletal and dental Class II malocclusion, multiple teeth missing, and constricted maxilla. After surgically assisted rapid maxillary expansion, and gingival graft of the mandibular dentition, the orthodontic treatment was started to close the space of missing maxillary second premolars, and to open the space of missing mandibular first molars for implant prosthesis. The occlusion was reconstructed with newly fabricated prosthesis of the posterior teeth and re-sized maxillary lateral incisors. Functional and physiological improvement of the occlusion was achieved after the sequential perio-ortho-prosthodontic treatment.