Significance of the Frankfort mandibular plane angle in prosthetic management of partially or completely edentulous patients with Class II malocclusions

Complete or partially edentulous patients with a skeletal class II skeletal jaw relationship due to a skeletal etiology comprise approximately 15% of the population with the two largest sub-categories being high and low FMA groups. Occlusal relationships in skeletal class II patients are often challenging because of arch size discrepancies which limits the potential occlusal contact area, steep guidance factors which can introduce occlusal interferences, and excessive range of motion which can complicate centric relation records. FMA determination provides a structure-function basis in selecting a scheme for occlusal reconstruction and should be incorporated in the treatment planning procedure as a major adjunctive diagnostic tool. The following treatise provides background information and treatment guidelines to facilitate improved prosthetic treatment for partially and completely edentulous skeletal class II patients.