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Maxillary palatal ramp prosthesis: A prosthodontic solution to manage mandibular deviation following surgery.

Bhattacharya SR, Majumdar D, Singh DK, Islam MD, Ray PK, Saha N - Contemp Clin Dent (2015)

Bottom Line: Mandibular resection following surgical treatment for neoplastic lesions of the oral cavity leads to numerous complications including altered mandibular movements, disfigurement, difficult in swallowing, impaired speech and articulation, and deviation of the mandible towards the resected site.Various prosthetic methods are employed to reduce or minimize mandibular deviation and improve and restore the lost functions and esthetic, like maxillomandibular fixation, implant supported prosthesis, removable mandibular guide flange prosthesis, and palatal based guidance restoration.This clinical report describes the rehabilitation of a patient following segmental mandibulectomy using palatal ramp prosthesis.

View Article: PubMed Central - PubMed

Affiliation: Department of Dentistry, R. G. Kar Medical College, Kolkata, West Bengal, India.

ABSTRACT
Mandibular resection following surgical treatment for neoplastic lesions of the oral cavity leads to numerous complications including altered mandibular movements, disfigurement, difficult in swallowing, impaired speech and articulation, and deviation of the mandible towards the resected site. Various prosthetic methods are employed to reduce or minimize mandibular deviation and improve and restore the lost functions and esthetic, like maxillomandibular fixation, implant supported prosthesis, removable mandibular guide flange prosthesis, and palatal based guidance restoration. This clinical report describes the rehabilitation of a patient following segmental mandibulectomy using palatal ramp prosthesis.

No MeSH data available.


Related in: MedlinePlus

Intra oral view without prosthesis
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Figure 1: Intra oral view without prosthesis

Mentions: A 29-year-old male patient Shohaib Aktar reported to the Department of Prosthetic Dentistry, Dr R Ahmed Dental College and Hospital, Kolkata, complaining of inability to grind food, dryness of the mouth and disfigured facial appearance following mandibular resection. Patient had undergone segmental mandibulectomy following squamous cell carcinoma of mandible. No intermaxillary fixation was applied at surgical time. Extra oral examination revealed deviation of residual mandible towards right side and loss of functional occlusion on left side with predominant facial defect on right infraauricular region. Intraoral examination reveals missing 25, 26, 27, 28, 35, 36, 37, 38. Cervical dark brown discoloration is seen on the remaining teeth [Figure 1].


Maxillary palatal ramp prosthesis: A prosthodontic solution to manage mandibular deviation following surgery.

Bhattacharya SR, Majumdar D, Singh DK, Islam MD, Ray PK, Saha N - Contemp Clin Dent (2015)

Intra oral view without prosthesis
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4374305&req=5

Figure 1: Intra oral view without prosthesis
Mentions: A 29-year-old male patient Shohaib Aktar reported to the Department of Prosthetic Dentistry, Dr R Ahmed Dental College and Hospital, Kolkata, complaining of inability to grind food, dryness of the mouth and disfigured facial appearance following mandibular resection. Patient had undergone segmental mandibulectomy following squamous cell carcinoma of mandible. No intermaxillary fixation was applied at surgical time. Extra oral examination revealed deviation of residual mandible towards right side and loss of functional occlusion on left side with predominant facial defect on right infraauricular region. Intraoral examination reveals missing 25, 26, 27, 28, 35, 36, 37, 38. Cervical dark brown discoloration is seen on the remaining teeth [Figure 1].

Bottom Line: Mandibular resection following surgical treatment for neoplastic lesions of the oral cavity leads to numerous complications including altered mandibular movements, disfigurement, difficult in swallowing, impaired speech and articulation, and deviation of the mandible towards the resected site.Various prosthetic methods are employed to reduce or minimize mandibular deviation and improve and restore the lost functions and esthetic, like maxillomandibular fixation, implant supported prosthesis, removable mandibular guide flange prosthesis, and palatal based guidance restoration.This clinical report describes the rehabilitation of a patient following segmental mandibulectomy using palatal ramp prosthesis.

View Article: PubMed Central - PubMed

Affiliation: Department of Dentistry, R. G. Kar Medical College, Kolkata, West Bengal, India.

ABSTRACT
Mandibular resection following surgical treatment for neoplastic lesions of the oral cavity leads to numerous complications including altered mandibular movements, disfigurement, difficult in swallowing, impaired speech and articulation, and deviation of the mandible towards the resected site. Various prosthetic methods are employed to reduce or minimize mandibular deviation and improve and restore the lost functions and esthetic, like maxillomandibular fixation, implant supported prosthesis, removable mandibular guide flange prosthesis, and palatal based guidance restoration. This clinical report describes the rehabilitation of a patient following segmental mandibulectomy using palatal ramp prosthesis.

No MeSH data available.


Related in: MedlinePlus