AN INNOVATIVE AND STIPULATE PROSTHETIC MANAGEMENT FOLLOWING MANDIBULAR RESECTION

Dr. Vivek Gautam, Dr. Swyeta Jain Gupta, Dr. Amit Gupta*, Dr. Kanika Bhalla Prabhat, Dr. Priya Anand

ABSTRACT

Oral neoplastic lesions when treated surgically often requires resection involving the mandible, floor of the mouth, tongue and also the palate. Once the mandibular resection is performed it leads to altered mandibular movements, disfigurement, difficulty in swallowing, impaired speech and deviation of the mandible towards the resected site. Numerous prosthetic procedures like maxillomandibular fixation, implant supported prosthesis, removable mandibular guide flange prosthesis and palatal based guidance restoration have been implied to reduce or minimize deviation and improve function. Managing patients who require mandibular resection without bony reconstruction is complex. This article describes the prosthetic management of a patient following segmental mandibular resection.

Keywords: Maxillomandibular fixation, implant supported prosthesis.