case_images: PMC10870340_01
case_images: Pre-treatment extraoral photographs: (A) Frontal, (B) Smiling, (C) Profile.
case_images: cureus-0016-00000052426-i01.jpg
case_images: PMC10870340_01_cureus-0016-00000052426-i01.jpg
case_images: FIG1
case_images: The lips appeared competent at rest (Figure 1).
case_images: Pre-treatment intraoral photographs: (A) Maxillary arch, (B) Mandibular arch, (C) Anteriors in occlusion, (D) Left molars in occlusion, (E) Right molars in occlusion.
case_images: cureus-0016-00000052426-i02.jpg
case_images: PMC10870340_01_cureus-0016-00000052426-i02.jpg
case_images: FIG2
case_images: Orthopantomogram (OPG) showing missing 11, 12, 21, and 22; root stumps at 35, 37, 38, 46, and 48; supraerupted 17 and 27.
case_images: cureus-0016-00000052426-i03.jpg
case_images: PMC10870340_01_cureus-0016-00000052426-i03.jpg
case_images: FIG3
case_images: Pre-treatment radiographs: (A) Lateral cephalogram, (B) posteroanterior (PA) cephalogram.
case_images: cureus-0016-00000052426-i04.jpg
case_images: PMC10870340_01_cureus-0016-00000052426-i04.jpg
case_images: FIG4
case_images: The lateral cephalogram showed a Class III skeletal pattern, a concave profile, a retrognathic maxilla, a prognathic mandible, the absence of the nasal bone, and a prominent Anterior Nasal Spine (ANS) (Figure 4).
case_images: Steps of fabrication of prosthesis: (A) Impression using putty material, (B) Working model cast, (C) Selection of acrylic tooth, (D) Acrylic tooth secured with cold cure.
case_images: cureus-0016-00000052426-i05.jpg
case_images: PMC10870340_01_cureus-0016-00000052426-i05.jpg
case_images: FIG5
case_images: A putty impression of the upper anterior region alone was taken (Figure 5A) and then poured with dental stone to create a working model (Figure 5B). Acrylic teeth, selected for their suitable shade and size, are shown in Figure 5C. A pink cold cure in the dough stage was applied, ensuring that the acrylic teeth were properly aligned with the arch (Figure 5D).
case_images: Pre- and post-treatment intraoral comparison: (A) Pre-treatment photograph of anterior teeth, (B) After placement of prosthesis in anterior region, (C) Pre-treatment maxillary arch, (D) After placement of quad helix for expansion.
case_images: cureus-0016-00000052426-i06.jpg
case_images: PMC10870340_01_cureus-0016-00000052426-i06.jpg
case_images: FIG6
case_images: This assembly was transferred to the patient's mouth and secured with the help of wire and modules (Figure 6).
case_images: Comparison of pre- and post-prosthesis placement: (A) Pre-treatment extraoral photograph, (B) Post-prosthesis placement.
case_images: cureus-0016-00000052426-i07.jpg
case_images: PMC10870340_01_cureus-0016-00000052426-i07.jpg
case_images: FIG7
case_images: The pre- and post-prosthesis placement can be appreciated (Figure 7A and Figure 7B).