Prosthetic management of hemimandibulectomy patient

Title: Prosthetic management of hemimandibulectomy patient –A Case Report

Authors: Dr Ruby, Dr Manish Kumar, Dr Hanish Choudhary

DOI: https://dx.doi.org/10.18535/jmscr/v6i7.26

Abstract

Introduction

The prosthodontic rehabilitation of patients with mandibular defects is challenging. The unilateral loss of mandibular continuity due to surgery or trauma results in mandibular deviation toward the defect side with lack of occlusion. Unlike the dentulous patients, edentulous patients are difficult to retrain mandibular movement and many times may never achieve proper maxillomandibular relationships for optimum mastication and appearance. We present a case of a completely edentulous hemimandibulectomy patient who approached for replacement of missing teeth after 6 years of cancer therapy. Initial evaluation of considering prosthetic management indicated poor prognosis. However, the patient's positive mental attitude toward treatment along with the application of basic fundamental principles by the prosthodontist during treatment procedure led us to fabricate a simple, effective functioning prosthesis that showed positive satisfactory prosthetic results.

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