Maxillofacial Discrepancy: Effective Surgical and Prosthetic Treatment using Immediate Complete Denture

This report describes the case of a 62-year-old white female, was referred to the Total Denture Clinics (School of Dentistry at the State of São Paulo University - ICT-UNESP) complaining about the appearance and function of her upper and lower prostheses. Clinical examinations showed excessive wear of the artificial teeth with an occlusal misalignment of the lower total denture; and the upper partial prosthesis (UPP) presented retention failures and a huge destruction of the remained artificial teeth. After clinical and radiographic examinations, the suggested treatment was the confection of a new inferior total denture and an immediate upper one. Our clinical findings from this patient indicate that an elderly patient with significant maxillo-mandibular discrepancy, showing a severe maxillo-facial discrepancy, needs a good evaluation of the facial asymmetries to avoid the final aesthetic results compromising and the good acceptance of the prosthesis by the patient. A suitable and comfortable surgical and prosthetic approach, combined with a sound and planned surgical procedure, promoted a predictable re-establishment of immediate function/ aesthetics, overcoming all initial difficulties.