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Nineteen-year-old woman with 14 congenitally missing permanent teeth.
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The patient underwent orthognathic surgery.
In relation to sagittal split-osteotomy in the right side, an implant was inserted in the lower molar region combined with lateralization of the inferior alveolar nerve.
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The patient has been followed for six years
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Note the effect on the labial-mental fold, the mandibular retrognathism and the lower anterior face height.
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Primary teeth are preserved when they are well functioning and do not interfere with the planned treatment. Later on they can be replaced by single tooth implants.
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