Open AccessGuide Flange Prosthesis with Acrylic Guidance Ramp for Management of Deviation following Segmental Mandibulectomy and Partial Maxillectomy for Gingivobuccal Mucosal Cancer: A Case Report.
Author(s) -
Anjali Tandukar,
Bodh Bikram Karki,
Saroj Singh,
Pramod Raj Joshi
Publication year - 2021
Publication title -
nepal medical journal
Language(s) - English
Resource type - Journals
eISSN - 2645-8438
pISSN - 2645-842X
DOI - 10.37080/nmj.182
Subject(s) - flange , mandible (arthropod mouthpart) , medicine , maxilla , prosthesis , dentistry , resection , orthodontics , surgery , materials science , botany , composite material , biology , genus
Surgical resection of maxilla and /or mandible due to the presence of benign or malignant tumor is most common. Segmental resection frequently causes deviation of mandible towards the defective side and disturbances in maxillomandibular relationship. Variety of materials and techniques have been used for the construction of prosthetic replacement of acquired surgical defects. This case report describes prosthodontic management of a patient who has undergone partial maxillectomy and segmental mandibulectomy using the mandibular guide flange prosthesis with acrylic guidance ramp. This not only helps to correct the deviation but also guides the mandible for achieving occlusal contact with opposing teeth.