The guidance flange prosthesis helps in directing the deviating mandible to improve form and function. This case report describes a procedure. Mandibular Guide Flange Prosthesis Following Mandibular Resection: A Clinical Report. SHAILENDRA KUMAR SAHU*. MDS, Senior Lecturer, Dept. of. prosthesis.2 In a mandibular-based guidance prosthesis, the guide flange is attached to a mandibular removable partial denture (RPD) on the nonresected side.

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The reviewers provide appropriate suggestions that improve the quality of articles. Frequent follow-ups are mandatory and it should be noted whether continuous wear would help the patient to improve further in achieving proper centric occlusion without guiding flange and whether she would be able to retain that ability once the guiding flange is discontinued.

Journal List J Adv Prosthodont v. Their prompt and timely response to review’s query and the manner in which they have set the reviewing process helps in extracting the best possible scientific writings for publication. Dent Res J Isfahan. A 35 years old male patient came to the hospital with the history of hemimandibulectomy and left maxillary alveolectomy reconstructed with masseter flap done two weeks ago owing to carcinoma left buccal mucosa.

Rajendra Kumar Ghritlaharey “I wish to thank Dr.

Management of a hemi-mandibulectomy defect with a definitive guiding flange prosthesis. The patient was able to achieve an appropriate mediolateral position of the mandible but was unable to repeat this position consistently for adequate mastication.

Without this, masticatory ability may decrease and lateral movement toward the nonresected side may not be possible[ 9 ]. A comparison of masticatory function in patients with or without reconstruction of the mandible. After one week, the patient was evaluated for the insertion of prostjesis interim removable partial denture. It guiee time and concentration, yet I enjoy doing it.

Of course there is always a scope for improvement in every field and none is perfect.

Diagnostic considerations for prosthodontic rehabilitation of the mandibulectomy patient. Treatment of benign and malignant tumors may involve surgical resection of the mandible, which may be segmental or hemisectioned. Intermaxillary fixation can be advocated at time of surgery but for dressings and irrigation, it would be more advantageous to enable the patient to open and close the mouth. Patient complained of difficulty in mastication and speech. The prosthesis was tried in patient mouth and checked for retention and stability.


The response to any query and permission if required, is quite mandibjlar this is quite commendable. The patient was advised to wear the flange at all times except while eating and during nights and fpange asked to review after one week. Prosthetic management following mandibular resection: When a segment of the mandible is removed, immediate reconstruction is usually recommended to improve both facial symmetry and masticatory function.

Carol Stream, IL, Quintessence,p.

Use of a guide plane for maintaining the residual fragment in partial or hemimandibulectomy. Surgical resection owing to various reasons disrupts these functions. How to cite this article: The retentive components were modified and incorporated rlange the prosthesis as a wire substructure. The primary objective is restoration of function and appearance.

JCDR – Mandibular guidance therapy, Guide flange prosthesis, hemimandibulectomy

I wish for a great success for JCDR. Prosthetic management of edentulous mandibulectomy patients. My very best wishes to JCDR and hope it will sparkle up above the sky as a high indexed journal in near future. Prosthodontic and Surgical Consideration. The patient was evaluated for the guide flange prosthesis. The journal has an online first facility in which the accepted manuscripts may be published on the website before being included in a regular issue of the journal.

Guide flange prosthesis for early management of reconstructed hemimandibulectomy: The fabrication of cast metal guidance flange prostheses for a patient with segmental mandibulectomy: The buccal and lingual vestibular flanges can be brought closer by bending the occlusal cross-over wire components with a universal orthodontic plier to improve the retention.

Definitive guiding flange prosthesis: A definitive approach in segmental mandibulectomy defect

This record was transferred to a mean value articulator. This mandibular shift is due to the uncompensated influence of the contra-lateral musculature, particularly the internal pterygoid muscle. There are number of methods that will reduce mandibular deviation include inter-maxillary fixation and the use of mandibular gujde palatally-based guidance.


The flange of GFP was localized to three teeth two flangge and a first molar to avoid possible dislodging forces in the anterior lingual sulcus area i.

The inclination of the guide-flange was adjusted by selectively trimming the teeth-contacting surface or adding the auto-polymerizing clear acrylic resin DPI Cold cure clear; Dental products of India, Mumbai, India. Fabrication began with the formation of suitable mandibular and maxillary casts.

Guide flange prosthesis for early management of reconstructed hemimandibulectomy: a case report

Prosthetic management of edentulous mandibulectomy patients. Moreover being a multi-specialty journal an article concerning a particular specialty has a wider reach of readers of other related mandibulae also.

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Simple Search Advanced Search. Rehabilitating dentulous hemimandibulectomy patients. Prosthodontic and surgical consideration. Acrylic GF is comparatively simple in design, mandibulxr effective, less patient visit and more importantly the ease of adjustability[ 10 ]. This flange would engage the maxillary teeth during the mandibular closure, thereby directing the mandible into an appropriate intercuspal position. The forgotten patient in maxillofacial prosthetics.

The removable partial denture was processed in heat-polymerized acrylic resin Dental Products of India, Mumbai, India [ Figure 5 ] and checked for occlusion, the angle of the guiding flange and proper seating of the prostheses before the final gjide [ Figure 6 ]. An added advantage is nominal publication mandibulaar and monthly issue of the journal and more chances of an article being accepted for publication.

Ramesh Babu ” Journal of Clinical and Diagnostic Research JCDR is a multi-specialty medical and dental journal publishing high quality research articles in almost all branches of medicine.