Mandibular propulsion and dental implant rehabilitation for an edentulous patient with class II malocclusion and severe obstructive sleep apnea

Introduction: Orthognathic surgery can be a treatment for occlusal, oro-facial functional disorders and esthetics discrepancies as well obstructive sleep apnea. It is often practiced after an orthodontic preparation, but in edentulous patients, the preparation replaced with implant supported prosthesis to simulate final occlusion. Observation: A patient presenting severe apnea, vertical sagittal insufficiency of lower third face poor dental health was treated guided mandibular advancement almost complete rehabilitation. At first, implants were placed immediately loaded, giving class 2 Then, orthognathic performed, 1 occlusion, then made. Commentaries: The interest this case combined facial deformities by retrognathia jaws. gold standard apnea maxillary advancement. In case, esthetic anatomic reasons, mandible propulsion alone has been showing positive stable result use surgical guide permitted plan more accuracy. Conclusion: This combines fixed prosthetic rehabilitation, which