Australasian Orthodontic Journal (Jan 2019)

Surgical repositioning of infra-occluded dental implants in the orthognathic management of a Class III open-bite patient

  • Kim Kyung-A,
  • Kim Kang-Min,
  • Lee Tae-Hee,
  • Park Tae-Joon,
  • Park Ki-Ho

DOI
https://doi.org/10.21307/aoj-2020-050
Journal volume & issue
Vol. 35, no. 2
pp. 210 – 217

Abstract

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Dental implants placed in the maxillary anterior region have a high risk of aesthetic complications caused by later infra-occlusion and may subsequently require special therapeutic considerations to achieve optimal aesthetic and functional results. Based on the severity, possible treatment options for infra-occluded implants include replacement of the implant restoration, alveolar distraction osteogenesis, repositioning by a segmental osteotomy, or the removal of the implant. The present case report describes the successful application of bi-maxillary orthognathic surgery combined with an anterior segmental osteotomy for the correction of a Class III open-bite malocclusion complicated by severely infra-occluded implants.