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A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible

Published on: January 28, 2020

Rehabilitating mandibular resection with guide flange prosthesis.

Himanshi Aggarwal¹, Sunit Kumar Jurel¹, Pradeep Kumar¹

¹Department of Prosthodontics, Faculty of Dental Sciences, Upgraded KGMC, Lucknow (U.P), India.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

|June 8, 2014

Summary

Mandibular defects cause facial asymmetry and malocclusion. A guide flange prosthesis effectively trains patients to achieve correct jaw alignment after surgery, aiding rehabilitation.

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Area of Science:

Oral and Maxillofacial Surgery
Biomedical Engineering
Dental Prosthetics

Background:

Loss of mandibular continuity, often due to tumor resection like ameloblastoma, results in significant functional and aesthetic deficits.
These deficits include deviation of the jaw segment, altered muscle function, facial asymmetry, and malocclusion.
The guide flange prosthesis is a specialized device designed to address these post-surgical complications.

Observation:

This report details the case of a patient who underwent hemisection of the mandible following ameloblastoma treatment.
The patient presented with the typical consequences of mandibular discontinuity.
The primary observation was the need for a functional and aesthetic rehabilitation solution.

Findings:

The mandibular guide flange prosthesis was successfully fabricated and fitted to the patient.
The prosthesis served as an effective training device, guiding the patient's jaw closure.
The patient demonstrated successful rehabilitation, achieving correct intercuspal position and improved function.

Implications:

Mandibular guide flange prostheses are a viable and effective treatment option for patients with mandibular defects.
This approach can significantly improve patient outcomes by restoring function and reducing asymmetry.
Further research into optimizing prosthesis design and patient-specific applications is warranted.