Sudipta Kar’s Modification of Guide Flange Prosthesis for mandibular repositioning
Keywords:
Guide flange prosthesis, condylectomy, deviation of the mandible, paediatric.
Abstract
The unilateral surgical removal condyle due to irreparable traumatic injury may result in mandibular deviation towards the surgical side and ultimately causes unstable occlusion. Unilateral condylectomy may also result in impaired speech articulation, and facial disfigurement. A corrective device known as 'guide flange prosthesis' is used to limit this manifestation. Restoration of acceptable functional occlusion is one of the goals of our treatment modality. Dentition can be used to confirm proper realignment of the mandibular deviation. This can be achieved by the use of guide flange prosthesis. This case report delineates the rehabilitation of a paediatric patient having deviation of the mandible following condylectomy using maxillary guide flange prostheses. Guide flange prosthesis can be considered as a training device. It guides the patient to reposition the mandible into the proper intercuspal position.References
1. Moore DJ, Mitchell DL. Rehabilitating dentulous hemimandibulectomy patients. J Prosthet Dent 1976; 35:202-6.
2. Robinson JE ,RubrightWC. Use of a guide plane for maintaining the residual fragment in partial or hemi-mandibulectomy. J Prosthet Dent 1964;14:992-9.
3. Principles, concepts, and practices in prosthodontics-1994. Academy of Prosthodontics. J Prosthet Dent 1995;73:73-94.
4. Schneider RL, Taylor TD. Mandibular resection guidance prostheses: a literature review. J Prosthet Dent 1986; 55:84-6.
5. Fattore L, Marchmont-Robinson H, Crinzi RA, Edmonds DC. Use of a two piece gunning splint as a mandibular guide appliance for a patient treated for ameloblastoma. Oral Surg Oral Med Oral Patho 1988; 66:662-5.
6. Beumer J, Curtis TA, Firtell DN. Maxillofacial rehabilitation: Prosthodontics and Surgical Considerations.St Louis,1979,The CV Mosby Co,p 130-156.
7. Sahin N, Hekimoglu C, Aslan Y. The fabrication of cast metal guidance flange prostheses for a patient with segmental mandibulectomy: A clinical report. J Prosthet Dent 2005;93(3):217-20.
8. Robinson JE, Rubright W.C. Use of a guide plane for maintaining the residual fragment in partial or hemimandibulectomy. J Prosthet Dent 1964;14:992-9.
9. Hasanreisoglu U, Uçtasli S, Gurbuz A. Mandibular guidance prosthesis following resection procedures: Three case reports. Eur J Prosthodont Rest Dent 1992;1:69-72.
10. Beumer. J III, Curtis T.A, Marunick MT. Maxillofacial Rehabilitation. Prosthodontic and surgical consideration. St. Louis : Ishiyaku. Euro America. 1996. p 113 –224.
11. Sahin N, Hekimoglu C, Aslan Y. The fabrication of cast metal guidance flange prostheses for a patient with segmental mandibulectomy: a clinical report. J Prosthet Dent. 2005;93:217-20.
12. Cantor R, Curtis TA. Prosthetic managements of edentulous mandibulectomy patients. Part 1. Anatomic, physiologic and psychologic consideration. J Prosthet Dent 1971;25:446-57.
13. Prakash V. Prosthetic rehabilitation of edentulous mandibulectomy patient. A clinical report. Indian J Dent Res 2008;19:257-60.
14. Parel SM. Overdentures in the maxillofacial prosthetic practice. Part I: the cancer patient. J Prosthet Dent 1983;50:522-9.
15. Moore DJ, Mitchell DL. Rehabilitating dentulous hemimandibulectomy patients. J Prosthet Dent 1976:35:202–6.
16. Sahin N, Hekimoglu C, Aslan Y. The fabrication of cast metal guidance flange prostheses for a patient with segmental mandibulectomy: a clinical report. J Prosthet Dent. 2005;93:217-20.
17. Joshi P, Saini G, Shetty P, Bhat S Prosthetic rehabilitation following segmental mandibulectomy.Journal of Indian Prosthodontic Society 2008;VOL8(2) 108-111.
18. Prencipe MA, Durval E, De Salvador A, Tatini C, Roberto B. Removable partial prosthesis (RPP) with acrylic resin flange for the mandibular guidance therapy. J Maxillofac Oral Surg2009; 8:19-21.
19. Taylor TD, editor. Clinical maxillofacial prosthetics. Chicago: Quintessence Publishing; 2000. pp.155-170.
2. Robinson JE ,RubrightWC. Use of a guide plane for maintaining the residual fragment in partial or hemi-mandibulectomy. J Prosthet Dent 1964;14:992-9.
3. Principles, concepts, and practices in prosthodontics-1994. Academy of Prosthodontics. J Prosthet Dent 1995;73:73-94.
4. Schneider RL, Taylor TD. Mandibular resection guidance prostheses: a literature review. J Prosthet Dent 1986; 55:84-6.
5. Fattore L, Marchmont-Robinson H, Crinzi RA, Edmonds DC. Use of a two piece gunning splint as a mandibular guide appliance for a patient treated for ameloblastoma. Oral Surg Oral Med Oral Patho 1988; 66:662-5.
6. Beumer J, Curtis TA, Firtell DN. Maxillofacial rehabilitation: Prosthodontics and Surgical Considerations.St Louis,1979,The CV Mosby Co,p 130-156.
7. Sahin N, Hekimoglu C, Aslan Y. The fabrication of cast metal guidance flange prostheses for a patient with segmental mandibulectomy: A clinical report. J Prosthet Dent 2005;93(3):217-20.
8. Robinson JE, Rubright W.C. Use of a guide plane for maintaining the residual fragment in partial or hemimandibulectomy. J Prosthet Dent 1964;14:992-9.
9. Hasanreisoglu U, Uçtasli S, Gurbuz A. Mandibular guidance prosthesis following resection procedures: Three case reports. Eur J Prosthodont Rest Dent 1992;1:69-72.
10. Beumer. J III, Curtis T.A, Marunick MT. Maxillofacial Rehabilitation. Prosthodontic and surgical consideration. St. Louis : Ishiyaku. Euro America. 1996. p 113 –224.
11. Sahin N, Hekimoglu C, Aslan Y. The fabrication of cast metal guidance flange prostheses for a patient with segmental mandibulectomy: a clinical report. J Prosthet Dent. 2005;93:217-20.
12. Cantor R, Curtis TA. Prosthetic managements of edentulous mandibulectomy patients. Part 1. Anatomic, physiologic and psychologic consideration. J Prosthet Dent 1971;25:446-57.
13. Prakash V. Prosthetic rehabilitation of edentulous mandibulectomy patient. A clinical report. Indian J Dent Res 2008;19:257-60.
14. Parel SM. Overdentures in the maxillofacial prosthetic practice. Part I: the cancer patient. J Prosthet Dent 1983;50:522-9.
15. Moore DJ, Mitchell DL. Rehabilitating dentulous hemimandibulectomy patients. J Prosthet Dent 1976:35:202–6.
16. Sahin N, Hekimoglu C, Aslan Y. The fabrication of cast metal guidance flange prostheses for a patient with segmental mandibulectomy: a clinical report. J Prosthet Dent. 2005;93:217-20.
17. Joshi P, Saini G, Shetty P, Bhat S Prosthetic rehabilitation following segmental mandibulectomy.Journal of Indian Prosthodontic Society 2008;VOL8(2) 108-111.
18. Prencipe MA, Durval E, De Salvador A, Tatini C, Roberto B. Removable partial prosthesis (RPP) with acrylic resin flange for the mandibular guidance therapy. J Maxillofac Oral Surg2009; 8:19-21.
19. Taylor TD, editor. Clinical maxillofacial prosthetics. Chicago: Quintessence Publishing; 2000. pp.155-170.
Published
2016-04-08
Issue
Section
Case Reports
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