A systematic approach in rehabilitation of hemimandibulectomy: A case report

Abstract

Loss of mandibular continuity results in deviation of remaining mandibular segment toward the resected side primarily because of the loss of tissue involved in the surgical resection. The success in rehabilitating a patient with hemimandibulectomy depends upon the nature and extent of the surgical defect, treatment plan, type of prosthesis, and patient co-operation. The earlier the mandibular guidance therapy is initiated in the course of treatment; the more successful is the patient's definitive occlusal relationship. Prosthodontic treatment coupled with an exercise program helps in reducing mandibular deviation and improving masticatory efficiency. This case report describes prosthodontic management of a patient who has undergone a hemimandibulectomy and was rehabilitated using provisional guide flange prosthesis followed by a definitive maxillary and mandibular cast partial denture with precision attachments designed to fulfill the patient's needs and requirements.

Rehabilitation after partial mandibulectomy - Clinical Report

“…However, the same does not happen with edentulous individuals, and as a result, in the majority of times, they can never achieve an adequate maxillomandibular relationship which affects both function and aesthetics. 17,18 Studies have emphasized the importance of immediate mandibular reconstruction and how it influences the patients' quality of life regarding masticatory performance, aesthetic outcome, and psychosocial impact with high survival rates of both the implants and the prosthesis. 9,12,15 In an initial phase, post-reconstruction of the mandible, the focus must be on the patient's motivation to control oral hygiene and its appreciation for the importance of the current treatment.…”

The Application of the Modified Method for the Production of Replacement Dentures to a Patient With Jaw Desomorphine Osteonecrosis

“…На 14-й день непрерывного использования замещающих протезов речь пациентки полностью нормализовалась, боли при жевании отсутствуют, гиперемии слизистой оболочки протезного ложа не выявлено. Усовершенствованная методика получения функционального оттиска позволяет равномерно распределить давление базисов акриловых протезов на слизистую оболочку резецированных альвеолярных отростков [13,14] челюстей. Это снижает жевательное давление, передаваемое от замещающих акриловых съемных протезов на надкостницу, кость и слизистую оболочку протезного поля в области приобретенного дефекта челюсти [15,16].…”

Prosthetic rehabilitation of hemimandibulectomy defect with removable partial denture prosthesis using an attachment-retained guiding flange

“…[ 5 ] Depending on the nature and severity of the mandibular defects, several methods including intermaxillary fixation, prosthetic rehabilitation with conventional prostheses such as mandibular based guidance restorations, and palatal based guidance restorations or implant-supported prostheses have been advocated for the correction of mandibular deviation. [ 6 7 ] This case report describes the fabrication of mandibular guiding flange prosthesis attached to definitive cast partial denture using customized rod and tube attachment for a patient with hemimandibulectomy defect on the right side.…”