Early management of hemi-mandibulectomy patient with guide plane prosthesis: A case report

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Case Report

Author Details : Gupta RK*, Soni S , Nath A , Bhasin R

Volume : 2, Issue : 1, Year : 2014

Article Page : 49-53

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Abstract

Occurrence of unilateral mandibular discontinuity, resulting due to trauma or surgery leads to mandibular deviation towards the defect side causing loss of occlusion on the unaffected side. Mandibular discontinuity leads to loss of balance and symmetry of mandibular function leading to altered mandibular movements. Mandibular deviation of unresected side due to involuntary action of contralateral musculature, particularly the medialpterygoid muscle and contraction of the cicatricial tissue on the resected side. Choice of surgical treatment modality depends on location and extent of tumours, various approaches can be Marginal, Segmental, Hemi-, Subtotal, or Total mandibulectomy. A definitive prosthesis can be given only after completion of healing process and acceptance of the osseous graft. Prosthodontic intervention is an important requirement for preventing the mandibular deviation during the initial healing period. The present case report describes early prosthodontic rehabilitation of a right side hemi-mandibulectomy patient with mandibular guide flange prosthesis. This prosthesis facilitates in guiding the mandible in normal position without deviation.

Keywords: Guide flange Prosthesis, Hemi-Mandibulectomy.

How to cite : Gupta Rk, Soni S, Nath A, Bhasin R, Early management of hemi-mandibulectomy patient with guide plane prosthesis: A case report. J Dent Spec 2014;2(1):49-53

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