Use of mandibular guidance prosthesis with the buccal guide flange in hemimandibulectomy patient

Abstract

Hemi-mandibulectomy causes the remaining segment of the mandible to deviate towards the resected side, this is due to the loss of soft and hard tissues on the resected side. Immediate surgical reconstruction will improve the prognosis of the rehabilitation procedures. This case report presents a patient with hemimandibulectomy defect on the left side was discussed. The patient was able to bring the mandible in proper occlusal relationship with the maxilla but was not able to maintain it for masticatory purposes. Therefore he was rehabilitated by a mandibular guide flange. Rehabilitation of the defect by mandibular guide flange will help in maintaining a proper occlusal relationship of the mandible for improved vertical stroke and chewing efficacy.