Prosthetic Rehabilitation of a Hemimandibulectomy Case by Non-Surgical Approach- A Case Report
Mirella Vaz *
Department of Prosthodontics and Crown & Bridge, Bharati Vidyapeeth (Deemed to be University) Dental College & Hospital, Navi Mumbai, India.
Mridula Joshi
Department of Prosthodontics and Crown & Bridge, Bharati Vidyapeeth (Deemed to be University) Dental College & Hospital, Navi Mumbai, India.
Mahesh Ghadage
Department of Prosthodontics and Crown & Bridge, Bharati Vidyapeeth (Deemed to be University) Dental College & Hospital, Navi Mumbai, India.
Gunjan Daphale
Department of Prosthodontics and Crown & Bridge, Saraswati Dhanwantari Dental College and Hospital, Parbhani, India.
*Author to whom correspondence should be addressed.
Abstract
Hemimandibulectomy can have several consequences such as disoriented masticatory cycle, eccentric occlusion, distorted speech and facial disfigurement depending on the severity of the defect. It is challenging for the prosthodontist to rehabilitate the patients in whom osseous reconstruction has not been carried out. This clinical report describes the Prosthetic management of a patient who had undergone hemimandibulectomy due to moderately differentiated squamous cell carcinoma involving left buccal mucosa, gingivobuccal sulcus and retromolar trigone. A non- surgical approach was carried out to rehabilitate this patient, which included the fabrication of a maxillary guide flange prosthesis for correction of the frontal plane rotation and a twin occlusion prosthesis for ease of mastication. The appearance of the patient was improved drastically by the fabrication of an extraoral prosthesis.
Keywords: Hemimandibulectomy, frontal plane rotation, guide flange prosthesis, twin occlusion prosthesis