PROSTHETIC REHABILITATION OF DENTULOUS HEMIMANDIBULECTOMY PATIENT - A CLINICAL CASE REPORT

Abstract

The deformity associated with maxillofacial defects causes more of a psychological imbalance than the actual structural and functional loss. Mandible is the only bone that supports the lower face and aids in performing oral functions. Maxillofacial defects that interrupt the continuity of the mandible results in mandibular deviation and rotation which are evident esthetically as well as occlusally. The prime aims of prosthetic rehabilitation are to restore the patient with improved esthetics and acceptable occlusion. These aims   are related to the extent of the mandibular resection, the amount of soft tissue loss, and presence or absence of natural teeth. Mandibular discontinuity defects that are immediately restored with grafts have better prognosis as the continuity of mandible is retained. Maxillofacial prosthesis  that can camouflage these defects to restore the facial symmetry,   normal appearance   and   an acceptable occlusion, can not only boost the patient’s morale and assist in bringing them back to the society but also aid in performing their functions more efficiently . This clinical case report describes the prosthetic rehabilitation with a cast partial denture for a patient who underwent a hemimandibulectomy and reconstruction with bone (rib) graft.

Key words: Hemimandibulectomy, Prosthetic rehabilitation, Amoeloblastoma, Cast Partial denture.