J Dent Rehabil Appl Sci.  2024 May;40(2):91-99. 10.14368/jdras.2024.40.2.91.

Complete denture fabrication of a skeletal class III edentulous patient considering anterior neutral zone: a case report

• Kim SH
• Kim HJ
• Park SW
• Lim HP
• Park C
• Jang Wh

• KMID: 2562753
• DOI: http://doi.org/10.14368/jdras.2024.40.2.91

Abstract

In the case of skeletal class III edentulous patients, the stability of dentures can be achieved by using a crossbite by considering the residual ridge relationship when fabricating complete dentures. Forming the anterior teeth in a normal occlusal relationship in a skeletal class III ridge relationship may reduce the stability of the denture by increasing the anterior cantilever. However, when patients use complete dentures, not only functional aspects but also aesthetic aspects are important. The aesthetics of complete dentures depends on how the anterior artificial teeth are arranged, and cases of complete denture fabrication using normal occlusion or edge-to-edge bite in edentulous patients with skeletal class III ridge relationships have been reported. In this case, complete dentures were fabricated for an edentulous patient with a skeletal class III edentulous patients by forming anterior edgeto-edge bite considering neutral zone in maxillary anterior teeth, and good aesthetic and functional results were obtained.

Keyword

complete denture; skeletal class III; neutral zone; edge-to-edge bite

Reference

References

1. Boucher CC, Hickey JC, Zarb GA, Bloender CL. Boucher's Prosthodontic Treatment for Edentoulous Patients. 9th ed. St. Louis: Mosby Inc;1985. p. 373–7.

2. Ellis JS, Thomason JM, McAndrew R. 2010; A pilot study examining the effects of enhanced aesthetics on oral health related quality of life and patient's satisfaction with complete dentures. Eur J Prosthodont Restor Dent. 18:116–22.

3. Silva JM, Santos JFF, Marchini L. 2014; Factors influencing patients' satisfaction with complete dentures: a qualitative study. Braz Dent Sci. 17:83–8. DOI: 10.14295/bds.2014.v17i2.967.

4. Jacobson TE, Krol AJ. 1983; A contemporary review of the factors involved in complete denture retention, stability, and support. Part I: Retention. J Prosthet Dent. 49:5–15. DOI: 10.1016/0022-3913(83)90228-7. PMID: 6337253.

5. Beresin VE, Schiesser FJ. 1976; The neutral zone in complete dentures. J Prosthet Dent. 36:356–67. DOI: 10.1016/0022-3913(76)90155-4. PMID: 787504.

6. Massad JJ, Cagna DR, Goodacre CJ, Wicks RA, Ahuja SA. Application of the neutral zone in prosthodontics. 1st ed. New Jersey: Wiley Blackwell;2017. DOI: 10.1002/9781119374923.

7. Goyal BK, Bhargava K. 1974; Arrangement of artificial teeth in abnormal jaw relations: Mandibular protrusion and wider lower arch. J Prosthet Dent. 32:458–61. DOI: 10.1016/0022-3913(74)90359-X. PMID: 4606242.

8. Gysi A. 1927; Special teeth for cross-bite cases. Dent Dig. 33:167–71.

9. Kim JH, Kim JE, Park YB, Lee KW. 2019; Use of digital scan data for evaluation of edentulous ridge relationship: A case report for removable prosthesis with unilateral cross bite. J Korean Acad Prosthodont. 57:304–11. DOI: 10.4047/jkap.2019.57.3.304.

10. LaVere AM, Freda AL. 1972; Artificial tooth arrangement for prognathic patients. J Prosthet Dent. 28:650–4. DOI: 10.1016/0022-3913(72)90117-5. PMID: 4508490.

11. Pietrokovski J, Massler M. 1967; Alveolar ridge resorption following tooth extraction. J Prosthet Dent. 17:21–7. DOI: 10.1016/0022-3913(67)90046-7. PMID: 5224784.

12. Aidsman IK. 1977; Glossary of prosthodontic terms. J Prosthet Dent. 38:66–109. DOI: 10.1016/0022-3913(77)90268-2. PMID: 328864.

13. Sanghvi SJ, Bhatt NA, Bhargava K. 1981; An evaluation of cross-bite ridge relationships. A study of articulated jaw records of 150 edentulous patients. J Prosthet Dent. 45:24–9. DOI: 10.1016/0022-3913(81)90007-X. PMID: 7007623.