The Efficacy of Guiding Flange Appliance in Correcting Mandibular Deviation in the Hemi‐Mandibulectomy Patient. A Correlative Study

Tripathi, Arvind; Gupta, Ashutosh; Gautam, Vivek; Anwar, Mohd; Arora, Varun

doi:10.1111/jopr.12189

Cited by 7 publications

(3 citation statements)

References 9 publications

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“…Tripathi et al found that percentage of deviation correction is inversely proportional to duration elapsed between surgical phase and prosthesis insertion and amount of initial deviation [10].…”

Section: Discussionmentioning

confidence: 99%

Prosthetic Management of Segmentally Resected Mandible and Partial Glossectomy: A Case Report

Kakade¹,

Ghadage

Daphale

et al. 2021

JPRI

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The balance and symmetry of mandibular function gets destroyed by the loss of continuity of the mandible, which deviates the residual fragment towards the resected side thereby altering the mandibular movements. Physical therapy in combination with prosthodontic treatment can be used to reduce the mandibular deviation and hence it improves the masticatory efficiency. Many prosthetic methods are discovered to minimize deviation and provide masticatory efficiency. Some of these methods are mandibular guide ﬂange prosthesis, implant supported prosthesis and palatal guidance restoration. Contact of Tongue with palate is important for the production of normal speech, also the proper place of the tongue during certain sounds is important. In partial glossectomy conditions, tongue to palate articulation gets affected during speech and patient faces difficulty to pronounce certain sounds. For the rehabilitation of such patient thorough knowledge of the production of different sounds can be useful for diagnosis and treatment planning.

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Section: Discussionmentioning

confidence: 99%

Prosthetic Management of Segmentally Resected Mandible and Partial Glossectomy: A Case Report

Kakade¹,

Ghadage

Daphale

et al. 2021

JPRI

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show abstract

“…The surgical excision of unilateral mandible causes the mandible to deviate toward the extirpated side with the loss of occlusal contact . Dentulous patients can be retrained to achieve acceptable maxillomandibular relationship with the help of appliance like guide plane . The success of mandibular guide flange appliance depends on early placement of the appliance preferably as soon as the immediate postsurgical sequelae have subsided .…”

Section: Discussionmentioning

confidence: 99%

Prosthetic rehabilitation of edentulous hemimandibulectomy patient: a clinical report

Sahu

Motwani

Dani

2017

Clinical Case Reports

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“…Most dental literature shows prosthetic management of partially edentulous Cantor Curtis Class II, III and IV hemi-mandibulectomy patients, where tooth-supported prosthetic appliances can help limit deviation. 3,4 While, dental literature lacks clear documentation on the prosthetic rehabilitation of completely edentulous Cantor Curtis Class II, III and IV hemi-mandibulectomy cases, mostly showing some surgical intervention. 5…”

Section: Introductionmentioning

confidence: 99%

Evidence-Based Dentistry Protocol used in the Formulation and Application of Mandibular Muscle Physiotherapeutic Exercises in the Non-Surgical Correction of Mandibular Deviation Associated with Hemi-Mandibulectomy

Huda¹

2021

SVOADE

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Dental literature demonstrates limited research on non-surgical management of hemi-mandibulectomy patients with completely edentulous arches and severe deviation. In this evidence-based case report, a 65 year old, Cantor Curtis Class III hemi-mandibulectomy patient presented to the Department of Prosthodontics with completely edentulous mandibular arch and chief complaint of difficulty in mastication and speech. Surgical correction was not possible due to patient's incompliance and history of radiation. Meanwhile, Prosthodontic prognosis was considered poor, due to severe deviation of the mandible and hence the patient was deemed unrehabilitable.Objective: 1) To understand the unusual activity of mandibular muscles in a hemi-mandibulectomy patient and find the muscles involved in causing deviation. 2) To devise Mandibular muscle physiotherapeutic exercises based on the "5 Step Evidence-Based Dentistry Protocol," in order to train the muscles in obtaining a harmonic maxillo-mandibular relationship. 3) Demonstrate the use of an Orthopedic Chin cup appliance as an adjunct to physiotherapy. Methodology:The "5 Steps of Evidence-Based Dentistry Protocol" were used to understand the unusual muscle activity in a hemi-mandibulectomy patient and formulate Mandibular Muscle physiotherapeutic exercises to limit deviation. The entire clinical scenario was translated into three answerable questions. Namely: 1) Which muscles cause the deviation of the mandible in hemi-mandibulectomy patients? 2) What are the recommended physiotherapeutic exercises to reduce deviation of the mandible in hemi-mandibulectomy patients along with the frequency and intensity of such exercises? 3) Would an extraoral appliance reduce mandibular deviation in edentulous patients? Results:Stepwise Evidence based Practice led to a reduction in the mandibular deviation by guiding muscles to a harmonic position. Following which, fabrication of maxillary removable partial denture with palatal ramp and mandibular complete denture was possible in a hemi-mandibulectomy patient restoring mastication, speech and overall (QOL) Quality of life, whose initial prosthetic prognosis was poor and deemed unrestorable. Conclusion:This evidence-based case report creates awareness among Dentists about the importance of knowledge of "Unusual muscle activity after hemi-mandibulectomy". In order to successfully rehabilitate such patients it is imperative for dentists to broaden their knowledge of the Stomatognathic system.

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The Efficacy of Guiding Flange Appliance in Correcting Mandibular Deviation in the Hemi‐Mandibulectomy Patient. A Correlative Study

Abstract: Percentage correction of mandibular deviation is dependent on the timing of prosthetic rehabilitation. The less the initial deviation, the better the correction.

Cited by 7 publications

References 9 publications

Prosthetic Management of Segmentally Resected Mandible and Partial Glossectomy: A Case Report

Prosthetic Management of Segmentally Resected Mandible and Partial Glossectomy: A Case Report

Prosthetic rehabilitation of edentulous hemimandibulectomy patient: a clinical report

Evidence-Based Dentistry Protocol used in the Formulation and Application of Mandibular Muscle Physiotherapeutic Exercises in the Non-Surgical Correction of Mandibular Deviation Associated with Hemi-Mandibulectomy

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