Discontinuity of mandible limits the balance of the lower face and leads to decreased mandibular function by deviation of residual segment toward surgical site. Delay in the initiation of mandibular guidance therapy may be due to varied reasons like postsurgical morbidities, tight wound closure, radiation therapy, flap necrosis, and others, which may result in an inability to achieve normal maxillomandibular relationships. When such deviated mandible is opposed to maxillary complete denture, then the rehabilitation would be of greater challenge. This clinical report presents rehabilitation of hemimandibulectomy defect with twin occlusion in maxillary overdenture with access posts and O-ring attachments.
How to cite this article
Kumar KVA, Legha VS, Saini DK. Wadhwa VN, Sarkar A, Chahar PK. Twin Occlusion in Maxillary Overdenture with Access Posts and O-ring Attachments in the Rehabilitation of Hemimandibulectomy Patient. Int J Experiment Dent Sci 2017;6(2):105-107.
The mandible is a single bone that makes the lower third of the face and forms peripheral boundaries of floor of the mouth. Surgical resection of mandible owing to benign, malignant neoplasm, osteoradionecrosis is common. Loss of mandibular continuity causes deviation and rotation inferiorly due to muscle pull and scar contracture affecting mandibular movements, mastication, speech and aesthetics. Case Report: This case report describes prosthetic rehabilitation of a patient with post hemi-mandibulectomy residual defect. Patient underwent surgical resection of mandible right side distal to canine resulted in deviation and rotation of mandible towards the defect side. Because of restricted manipulation of mandible towards non-resected side, dual occlusion prosthesis in maxillary arch was planned to improve masticatory efficiency. Conclusion: Patients with excessive scar contracture limits mandibular manipulation towards normal side to achieve occlusion. These patients are rehabilitated with dual occlusion prosthesis to restore function.
Rehabilitation of facial defects is an exigent task for the prosthodontist requiring an innovative design and technique for each patient. The disfigurement associated with the loss of an eye may result in significant physical and emotional problems. The placement of an artificial prosthesis serves a great psychological, social, and cosmetic benefit to the patient. The present article describes a straightforward technique for the fabrication of a silicone orbital prosthesis retained using spectacle in a patient who had undergone exenteration of the right eye due to rhabdomyosarcoma.
How to cite this article
Wadhwa VN, Kumar KVA, Legha VS, Saini DK, Chahar PK, Sarkar A. Esthetic Rehabilitation of an Orbital Defect Secondary to Surgical Management of Rhabdomyosarcoma. Int J Experiment Dent Sci 2017;6(2):108-110.
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