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A systematic approach in rehabilitation of hemimandibulectomy: A case report

View Article: PubMed Central - PubMed

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.

No MeSH data available.


(a and b) Pre- and post-treatment facial profile
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Figure 7: (a and b) Pre- and post-treatment facial profile

Mentions: Attachment retained prosthesis in such cases is valuable because of the stress breaking effect. Esthetics is greatly improved without any metal display. Retention provided by the attachment can be increased with the various retentive caps as per the patients comfort. In this case, extracoronal attachment was used on a single tooth on ether sides, thus special attention was given to maintain favorable crown: Root ratio. Mesial rests coupled with precision attachments were used for effective stress distribution. Both teeth exhibited sufficient root length and bone support. The teeth were evaluated during the periodic recalls and a healthy periodontal status was maintained. Considerable improvement in facial profile of the patient was observed posttreatment [Figure 7a and b] and further improvement was seen during recall visits.


A systematic approach in rehabilitation of hemimandibulectomy: A case report
(a and b) Pre- and post-treatment facial profile
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4837783&req=5

Figure 7: (a and b) Pre- and post-treatment facial profile
Mentions: Attachment retained prosthesis in such cases is valuable because of the stress breaking effect. Esthetics is greatly improved without any metal display. Retention provided by the attachment can be increased with the various retentive caps as per the patients comfort. In this case, extracoronal attachment was used on a single tooth on ether sides, thus special attention was given to maintain favorable crown: Root ratio. Mesial rests coupled with precision attachments were used for effective stress distribution. Both teeth exhibited sufficient root length and bone support. The teeth were evaluated during the periodic recalls and a healthy periodontal status was maintained. Considerable improvement in facial profile of the patient was observed posttreatment [Figure 7a and b] and further improvement was seen during recall visits.

View Article: PubMed Central - PubMed

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.

No MeSH data available.