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

Case series of three patients. I strongly recommend my fraternity to encourage JCDR by contributing their valuable research work in this widely accepted, user friendly journal. In the above cases intermaxillary fixation was not done at the time of surgery and preoperative impressions were not made as they were referred only after surgery.

Prosthetic management of edentulous mandibulectomy patients. A major benefit with JCDR is the timeliness and promptness of its response. The prosthesis was finished, evaluated and inserted intraorally. All authors equally contributed to the treatment and writing case report. The authors of this manuscript declare that they have no conflicts of interest, real or perceived, financial or non-financial in this article. This article gives a comprehensive explanation about rehabilitation procedures carried out for three patients who were surgically treated for carcinoma with hemimandibulectomy and neck dissection.

This case series describes different types of guiding flange GF prosthesis with modifications for three hemimandibulectomy patients at different time interval after surgery. Dent Res J Isfahan.


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

Prosthesis guided the mandible in a definite closing point. Thus mandibu,ar smooth gliding flange surface was developed intraorally to guide the mandible in a definite closing point rather than the area in occlusion.

The GFP and the maxillary stabilization plate were finished and polished in usual manner. A single thickness modeling wax was adapted on the maxillary cast covering entire hard palate and the occlusal surfaces of the left posterior teeth and subsequently acrylized into the heat-polymerized clear acrylic resin to make the maxillary stabilization plate Fig.

It gives a platform to the authors to publish their research work which can be available for everyone across the globe to read. In time compared to other journals. Intraoral view of the patient with the Interim removable partial denture. They further stated that mandibular guidance therapy begins when the immediate post surgical sequelae have subsided, usually at about flanhe weeks after surgery.

The lingual flange extension on the entire lingual surfaces of the three teeth and deep in the lingual sulcus also helps increasing the stability of the prosthesis. Overall, the publishing process with JCDR has been smooth, quick and relatively hassle free and I can recommend other authors to consider the journal as an outlet for their work. Various literature shows different techniques for managing the deviation that include cast metal guidance prosthesis which is more technique sensitive, time consuming, expensive and require more number of patient visits.

Mandibulectomy with radical neck dissection increases this deviation. It’s wide scope welcomes articles across various specialities in medicine. GF prosthesis guides the remaining mandible to proper and stable occlusion and trains the mandibular movements after hemimandibulectomy.


Number of Hits and Downloads for This Article. Customized flange, denture prosthesis, guiding flange, hemimandibulectony, segmental resection. The fabrication of cast metal guidance flange prostheses for a patient with segmental mandibulectomy: B Grade C Good: Ameloblastoma is a highly aggressive odontogenic tumor of epithelial origin commonly found in posterior mandible and treated with the surgical excision.

Of course there is always a scope for improvement in every field and none is perfect. Impression, cast, interocclusal record and articulation were made following the same procedure as in case report 1. Though the lingual flange of the GFP was short in length, it was sufficient to stabilize the GFP in this particular patient as the deviation force was lesser than the stability of the GFP.

prsothesis The procedure of impression making, cast, interocclusal record and articulation as in case report 1 was done. Sitemap What’s New Feedback Disclaimer. Recently, due to the increased volume of the submissions, the review process has become slower and it??

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

A definitive cast partial denture with a metal guiding flange and acrylic teeth was planned. Medicine, Research and Experimental. Prosthodontic and Surgical Consideration.