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.