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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When a segment of the mandible is removed, immediate reconstruction is usually recommended to improve both facial symmetry and masticatory function. It was noted that the deviation of mandible towards the resected side was minimum as the surgery was done only two weeks ago.

In certain cases, I felt that the peer review process of the manuscripts was not up to international standards and guiee it should be strengthened.

Dr Archana Dambal “Journal of clinical and diagnostic research is a welcome prosthessis in publishing practices.

Various designs of prostheses either mandibular-based or palatal-based, anchored on natural teeth or the denture flange have been employed to reestablish normal mandibular function. The patient was evaluated for the guide flange prosthesis. Quintessence Publishing Co, Illinois, The degree of deviation is dependent on several factors such as the location and extent of osseous guie soft tissue resection, the method of surgical site closure, degree of impaired tongue function, the presence and condition of the remaining natural teeth, the degree to which nerve innervations has been involved, and the use of adjunctive procedures such as radiation therapy and the timing of prosthodontic treatment.

Advertisers Access Statistics Resources Dr Archana Dambal “Journal of clinical and diagnostic research is a welcome change in publishing practices. Case series of three patients. This article describes different types of GF prosthesis with modifications for three hemimandibulectomy patients at different time interval after surgery.

The GF is probably the simplest and most useful in gukde position of the remaining jaw[ 3 ]. This article has been cited by other articles in PMC. The patient was pleased with the overall performance of the prosthesis and successfully speaks and masticates without clinically significant deviation. Considering the amount of deviation and reduced mouth opening, mandibular GF prosthesis was fabricated on the nondefect side using autopolymerising acrylic resin DPI Cold Cure pink; Dental products of India.


The procedure of impression making, cast, interocclusal record and articulation as in case report 1 was done. This prosthesis helped her to get accustomed to close the mandible into the correct intercuspal position without the use of any external aid. Total Article Views All Articles published online. The quality of printing of figures and tables is excellent and comparable to any International journal. Extraoral examination showed facial asymmetry with mandibular deviation to the right side.

Orofacial and mandibular reconstruction with the iliac crest free flap: 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.

When viewed from the frontal plane, the teeth on the surgical side of the mandible move away from the maxillary teeth after the initial rposthesis on prosthwsis nonsurgical side has been established. Prosthesis in place during large mouth opening. Loss of mandibular continuity causes deviation of the remaining mandibular segments towards the defect and rotation of the mandibular occlusal plane inferiorly due to muscle pull and scar contracture.

The fabrication of cast metal guidance flange prostheses for a patient with segmental mandibulectomy: The clinicians must wait for extensive period of time for completion of healing and acceptance of the osseous graft before considering the definitive prosthesis. Physiotherapy was suggested to assist the patient in improving the symmetrical arc of closure and in finding the centric occlusion position without guiding the mandible manually.

The acrylic resin extended over the occlusal surfaces of the left maxillary posterior teeth prevents the possible extrusion of the teeth till replacement of mandibular teeth on defect side. Number of Hits and Downloads for This Article. 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.

It ‘s a multispecialty journal, publishing high quality articles.

Prosthodontic and Surgical Consideration. She had a unilateral discontinuity mandibular defect on the right side due to surgery for ameloblastoma.

J Prosthet Dent ; Their systematic approach in publication of article in various categories is really praiseworthy. The journal is indexed in many databases, though not in PubMed. Final prosthesis, intraoral view, and note the correction of the deviation and midline. Use of a guide plane for maintaining the residual fragment in partial or hemimandibulectomy.


The JCDR website especially for the reviewers is quite user friendly.

The journal has an extensive author support system and it has mandibulaf introduced a paid mabdibular review process. Introduction Surgical treatment for neoplastic lesions of the oral cavity often requires resection involving the mandible, floor of the mouth, tongue and also the palate. The absence of the muscle of mastication on the surgical side results in a significant rotation of the mandible upon forceful closure. If this influence is uncompensated, the contraction of cicatricial tissue will fix the residual fragment in its deviated position[ 5 ].

JCDR – Mandibular guidance therapy, Guide flange prosthesis, hemimandibulectomy

Mandibular guide flange prosthesis following mandibular resection; a clinical report. These movements tend to loosen scar contracture, reduce trismus and reprogram the remaining musculature to close the mandible into the centric occlusion. In spite of prostuesis the factors that were of concern for the success of guidance therapy, the factors that helped us to achieve the desired outcome were the patient motivation, remaining of tongue, floor of the mouth, and its contiguous soft tissues.

Treatment of benign and malignant tumors may involve surgical resection of the mandible, which may be segmental or hemisectioned. Condylar end of the FFF was not coinciding with the condylar fossa but observed to be shifted anterior to the articular eminence.

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

Extra oral examination revealed facial asymmetry and deviation of mandible towards the resected site and the deviation increased on opening the mouth. The journal prostnesis contributing immensely to the society at national and international level.

These include broad stress distribution, cross arch stabilization by using a rigid major connector, stabilizing and retaining components at locations within the arch to minimize the dislodgement and the replacement of the tooth positions which optimize the prostheses.

They protshesis that the use of intermaxillary fixation during the first 6 postoperative weeks reduces the degree of deviation. The journal has a system of notifying readers through e-mail when a new issue is released. Find articles by Guids Gajanan Patil. It needs knowledge on the subject, sincerity, honesty and determination.

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