Prosthodontic management of hemimandibulectomy patients to restore form and function - A case series
Autor: | Rajendran Appadurai, Deenadayalan Lingeshwar, Ujjayanthi Sswedheni, Challa Padmaja |
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Rok vydání: | 2017 |
Předmět: |
Surgical resection
medicine.medical_specialty Osteoradionecrosis medicine.medical_treatment Case Report Prosthesis Resection 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Form and function medicine 030223 otorhinolaryngology Mastication Orthodontics business.industry Guiding flange prosthesis Mandible 030206 dentistry General Medicine Mandibular deviation medicine.disease Palatal ramp Hemimandibulectomy business |
Zdroj: | World Journal of Clinical Cases |
ISSN: | 2307-8960 |
DOI: | 10.12998/wjcc.v5.i10.384 |
Popis: | Surgical resection of mandible owing to benign, malignant neoplasm, osteoradionecrosis is common. The resection can be total or segmental depending on the lesion. Loss of mandibular continuity causes deviation of remaining mandibular segment towards the resected side and rotation inferiorly due to muscle pull and scar contracture affecting mastication and esthetics. Surgical reconstruction may not be always possible. Prosthetic rehabilitation plays a major role in these patients. This case series describes different types of guiding flange (GF) prosthesis with modifications for three hemimandibulectomy patients at different time interval after surgery. The article details GF prosthesis combined with physiotherapy to correct deviation of mandible thereby improving mastication, esthetics and speech and thus enhancing the quality of life. |
Databáze: | OpenAIRE |
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