Clinical examination and diagnosis
Post-surgical situationĀ : the patient presents a totally edentulous
maxillary arch opposed to a grafted arch using a fibula graft with 6
implants. Mouth opening is 25 mm between the lips without any evidence
of microstomy. The TMJ movements in diduction and propulsion are
limited. At the endobuccal level, we observe a mild generalized
periodontitis in the maxilla with discolorations on the buccal aspects
of the teeth. The vertical prosthetic space is reduced, given the mouth
opening limitation and the fibula volume which is greater than that of
the original mandible.