Occlusal guiding flange prosthesis for management of hemimandibulectomy-a case report

Surgical resection of the mandible due to presence of benign or malignant tumor is the most common. Depending upon the location and extent of the tumor in the mandible, various surgical treatment modalities like marginal, segmental, hemi, subtotal, or total mandibulectomy can be performed. Mandibular discontinuity defects present a major challenge to the rehabilitation team and to maxillofacial prosthodontist. Discontinuity of mandible after resection destroys balance and symmetry which leads to altered mandibular movements and deviation of the residual fragment towards the defective side. Variety of materials and techniques have used for the construction of prosthetic replacement of the acquired surgical defects.

This case report describes prosthodontic management of a patient who has undergone hemi-mandibulectomy with mandibular guide flange prosthesis. To aid in moving the mandible normally without deviation during functions like speech and mastication.