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| Twenty-six-year-old male with 20 congenitally missing permanent teeth, bimaxillary retrognathism, |
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deep bite, cross-bite, abnormal attrition of especially central incisors and atrophy of the alveolar process in the lower incisor region
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The patient has been followed for five years
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Treatment included orthognathic surgery (bimaxillary osteotomies with advancement and transversal expansion of the maxilla), bilateral sinus floor elevation, local augmentation of the alveolar process and implants.
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The upper central incisors were restored by composite resin. Bite raising was achieved by orthognatic surgery combined with implants and extrusion of posterior molars.
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