Rehabilitating dentulous hemimandibulectomy patients

Prosthetic Rehabilitation of a Huge Midfacial Defect Combined with Partial Mandibulectomy: A Clinical Report

“…Deviation of the remaining mandible after surgical resection, was described by Robinson and Rubright (1964), Desjardins (1979) and Sahin et al (1993). According to Curtis et al (1975), Moore and Mitchell (1976), Desjardins (1979) and Sahin et al (1993); this deviation destroys both centric and eccentric relations and decreases masticatory performance. Schneider and Taylor (1986) and Rodrigues et al (2005) reported that, mandibular resection procedure also affects the oral functions such as speech and deglutition.…”

“…Mandibular deviation and dysfunction were the major challenges of the prosthodontic treatment of the resected mandible according to Sahin et al (1993). Curtis et al (1975), Desjardins (1979), Moore and Mitchell (1976) and Sassen (1979) indicated that, the extent of mandibular resection and loss of continuity is directly related with the decreased masticatory function. Additionally, Schneider and Taylor (1986) and Mukohyama, (2004) pointed that, mandibulectomy patients suffer from numerous problems with speech and deglutition due to an anatomical compromise resulting from tumor resection.…”

Prosthodontic Rehabilitation of a Partially Edentulous Hemiglossectomy Patient: A Clinical Report

“…8 This condition is aggravated sometimes by deficient alveolar ridge, suturing of the flap across the crest of the ridge, high tissue attachments, altered floor of the mouth and loss of buccal and lingual sulcus. 9 Different techniques, such as modified functional impression technique, 10 implant-retained prostheses, 6,11 palatal augmentation prosthesis, 12 neutral zone technique, 13 and mandibular resection prosthesis, have been described for the prosthodontic management of patients after glossectomy. The patient in this case presented with hemiglossectomy of the right side and missing teeth in the maxillary and the mandibular arches and poor oral hygiene.…”

Correction of Deviation of a Partially Resected Mandible Using a Palatal Ramp with the Aid of a Semi‐Adjustable Articulator

“…Establishing an appropriate stable and functional occlusal relationship on the nonsurgical side is the primary focus of prosthetic rehabilitation . A well‐organized mandibular exercise regimen to be followed by the patient is initiated usually 2 weeks postsurgery followed by mandibular guidance therapy on an interim basis …”

“…1 Establishing an appropriate stable and functional occlusal relationship on the nonsurgical side is the primary focus of prosthetic rehabilitation. 2,11 A well-organized mandibular exercise regimen to be followed by the patient is initiated usually 2 weeks postsurgery followed by mandibular guidance therapy on an interim basis. 1,4,5 Guidance prostheses to aid in correction of the mandibular deviation are of two basic types: (1) mandibular-based guidance prostheses (or guiding flange prostheses) and (2) palatally based guidance prostheses (or palatal ramp prostheses).…”