Abstract
Management of hemimandibulectomy patients with guidance flange prosthesis using combination technique- A case report - APRD- Print ISSN No: - 2581-4796 Online ISSN No:- 2581-480X Article DOI No:- 10.18231/j.aprd.2021.011, IP Annals of Prosthodontics and Restorative Dentistry-IP Ann Prosthodont Restor Dent
Highlights
Deformation of orofacial region may be congenital or acquired arising due to trauma or ablative cancer surgery
This paper describes a method where mandibular deviation in post mandibulectomy defect was managed with a combination approach using guide flange prosthesis and maxillomandibular fixation (MMF) screws with elastics
Phase II comprised of fabrication of mandibular guide flange prosthesis to help guide the teeth into maximum intercuspation and ensure repeated closure at this position for adequate mastication
Summary
Deformation of orofacial region may be congenital or acquired arising due to trauma or ablative cancer surgery. Intraoral defects often lead to asymmetry of the overlying soft tissue due to loss underlying supporting bone. Rehabilitation of patients with mandibular defects is a challenge to both surgeon and the rehabilitation specialist. Recurrence of primary tumor or lesions arising as complication of post-adjunct therapy complicates the rehabilitation. Major surgical procedures including segmental or marginal resection of mandible result in residual defects that require rehabilitation. Stents and guides serve as a template which allow resected bone and surrounding excised soft tissues to be guided back, thereby providing a platform for Prosthodontic rehabilitation. The challenges in the case presented were the reduced mouth opening due to scarred tissue contracture and gross mandibular deviation. This paper describes a method where mandibular deviation in post mandibulectomy defect was managed with a combination approach using guide flange prosthesis and MMF screws with elastics
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