Within the limitations of this study, it was concluded that the protrusive condylar guidance angles obtained by panoramic radiograph may be used in programming semi-adjustable articulators.
Surgical resection is an established and common method for treatment of maxillofacial tumors. Such intervening surgery in this region may involve the destruction of antral, nasal, or orbital contents and jaws. Normally, the end result is a defect which may affect speech, swallowing, mastication and facial appearance. Prosthodontic restoration of functions and facial form is an excellent method in the replacement of missing parts and restoration of contour. Pertinent research in materials, designs and methods have resulted in whole array of possible prosthess that can be provided to meet specific patient needs. This case report describes the fabrication of definitive obturator prosthesis made of flexible acrylic resin on a chrome cobalt base.
Statement of Problem:Many methods are reported in literature to determine freeway space (FWS), but they yield dissimilar measurements.Purpose:Recording FWS of patients during prosthetic rehabilitation is one of the important steps in dentistry. The purpose of this study is to evaluate the ability to predict FWS using lateral profile photographs (LPPs) in edentulous participants.Materials and Methods:Fifty-three participants in the age range of 20–27 years who met the inclusion criteria were recruited. LPP were taken for all participants using standard protocol and duplicate copy obtained; on which three soft tissue reference points, porion (Stp), gnathion (Stgn), and gonion (Stg) (Stg prenoted on the face) were marked and joined to form an angle Stp-Stg-Stgn. This angle was correlated with the mean FWS obtained using 3 methods, swallowing, phonetics, and no command. Simple linear regression model was used to develop a prediction formula for FWS using Stp-Stg-Stgn angle as the independent variable.Results:The angle Stp-Stg-Stgn had a significant negative correlation with FWS (r = −0.76, P < 0.001). Using simple linear regression analysis, the following formula was obtained: FWS (in millimeters) = 11.405 − 0.072 × (Stp-Stg-Stgn angle in degrees).Conclusion:Within the limitations of this study, considering the usage of LPP as a method to determine the FWS can be recommended.
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