case_images: PMC2938635_01
case_images: Pre-operative photograph of the patient showing the characteristic faecies
case_images: IJPS-43-92-g001.jpg
case_images: PMC2938635_01_IJPS-43-92-g001.jpg
case_images: F0001
case_images: On examination, the patient had frontal bossing and sunken cheeks with thick everted lips [Figure 1].
case_images: Pre-operative intraoral photograph showing absence of both upper and lower alveolus and complete anodontia
case_images: IJPS-43-92-g002.jpg
case_images: PMC2938635_01_IJPS-43-92-g002.jpg
case_images: F0002
case_images: On intraoral examination, there was complete absence of teeth along with absence of both upper and lower alveolus [Figure 2].
case_images: Three dimensional skull model of the patient used to assess the height and the width of the required upper and lower alveolus
case_images: IJPS-43-92-g003.jpg
case_images: PMC2938635_01_IJPS-43-92-g003.jpg
case_images: F0003
case_images: In the first stage, upper alveolar reconstruction was planned using vascularised free fibula graft. 3D skull models with blocks of modeling wax were used to assess the height, width and length of the required alveolus [Figure 3].
case_images: Postoperative intraoral photograph showing the overdentures
case_images: IJPS-43-92-g004.jpg
case_images: PMC2938635_01_IJPS-43-92-g004.jpg
case_images: F0004
case_images: In third stage, dental rehabilitation was carried out using overdentures for both maxilla and mandible [Figures 4 and 5]. The patient recovered well and is very happy, both functionally and aesthetically [Figures 4 and 6].
case_images: Postoperative OPG showing the reconstructed upper and lower alveolus (free fibula) and the dental implants
case_images: IJPS-43-92-g005.jpg
case_images: PMC2938635_01_IJPS-43-92-g005.jpg
case_images: F0005
case_images: In third stage, dental rehabilitation was carried out using overdentures for both maxilla and mandible [Figures 4 and 5].
case_images: Postoperative photograph of the patient
case_images: IJPS-43-92-g006.jpg
case_images: PMC2938635_01_IJPS-43-92-g006.jpg
case_images: F0006
case_images: The patient recovered well and is very happy, both functionally and aesthetically [Figures 4 and 6].