MANDIBULAR GUIDE FLANGE PROSTHESIS PDF

E-mail: moc. This article has been cited by other articles in PMC. Abstract Mandibular discontinuity defects following a segmental mandibulectomy defects present a major challenge to the rehabilitation team. With no immediate intervention to rehabilitate the patient, definitive mandibular guidance prostheses with a metal guiding flange and acrylic teeth on the resected side can be used successfully to stabilize the occlusion and correct the deviation. The present case report describes the prosthodontic rehabilitation of a patient with a segmental mandibulectomy using a mandibular prosthesis with a metal guide flange and a maxillary stabilizing metal framework. As a general rule, the resection of a portion of a mandible without loss of mandibular continuity is not as debilitating as a resection that compromises the mandibular continuity.

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E-mail: moc. This article has been cited by other articles in PMC. Abstract Mandibular discontinuity defects following a segmental mandibulectomy defects present a major challenge to the rehabilitation team. With no immediate intervention to rehabilitate the patient, definitive mandibular guidance prostheses with a metal guiding flange and acrylic teeth on the resected side can be used successfully to stabilize the occlusion and correct the deviation.

The present case report describes the prosthodontic rehabilitation of a patient with a segmental mandibulectomy using a mandibular prosthesis with a metal guide flange and a maxillary stabilizing metal framework. As a general rule, the resection of a portion of a mandible without loss of mandibular continuity is not as debilitating as a resection that compromises the mandibular continuity.

The degree of deviation is dependent on several factors such as the location and extent of osseous and soft tissue resection, the method of surgical site closure, degree of impaired tongue function, the presence and condition of the remaining natural teeth, the degree to which nerve innervations has been involved, and the use of adjunctive procedures such as radiation therapy and the timing of prosthodontic treatment.

Various designs of prostheses either mandibular-based or palatal-based, anchored on natural teeth or the denture flange have been employed to reestablish normal mandibular function. CASE REPORT A year-old female patient reported to the clinic complaining of deviation of mandible to the left when closing her mouth and inability to bite properly, following mandibular surgery 18 months ago. Preoperative history and examination revealed that the patient was diagnosed with a follicular ameloblastoma involving the left side of the mandible.

The patient had undergone surgical removal of the left half of mandible, i. Postsurgical radiographs revealed no grafts were placed to reconstruct the defect, but the discontinuity of the mandible was restored using bone plate [ Figure 1 ].

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Guide flange prosthesis for early management of reconstructed hemimandibulectomy: a case report

A comparison of masticatory function in patients with or without reconstruction of the mandible. She had a unilateral discontinuity mandibular defect on the right side due to surgery for ameloblastoma. Guide flange prosthesis for early management of reconstructed hemimandibulectomy: a case report Ameloblastoma is a highly aggressive odontogenic tumor of epithelial origin commonly found in posterior mandible and treated with the surgical excision. It needs knowledge on the subject, sincerity, honesty and determination. Another problem with many journals is the slowness of the review process. Rehabilitating dentulous hemimandibulectomy patients. JCDR — Mandibular guidance therapy, Guide flange prosthesis, hemimandibulectomy Ameloblastoma, case report, segmental mandibulectomy.

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MANDIBULAR GUIDE FLANGE PROSTHESIS PDF

This clinical report gives a brief review of resection guidance prosthesis and describes the fabrication of an acrylic guidance flange prosthesis. Successful intercuspal position was accomplished through the use of the guidance appliance, combined with physiotherapy in a patient who underwent a hemisection of the mandible, subsequent to treatment for an ameloblastoma. Keywords Mandibular guidance therapy, Guide flange prosthesis, hemimandibulectomy Introduction Surgical treatment for neoplastic lesions of the oral cavity often requires resection involving the mandible, floor of the mouth, tongue and also the palate. In patients who have undergone mandibular resection, the remaining mandibular segment will retrude and deviate towards the surgical side, at the vertical dimension of rest.

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Definitive guiding flange prosthesis: A definitive approach in segmental mandibulectomy defect

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