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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Prosthodontic and Surgical Consideration. Mandibular guidance prostheses are normally utilized on an interim basis. Support Center Support Center. The prosthesis was tried in patient mouth and checked for retention and stability. Clinical Maxillofacial Prosthetics, Chicago: Abstract Surgical resection of the mandible flqnge to presence of benign or malignant tumor is the most common cause of the mandibulaar deviation.

Intermaxillary fixation following mandibular resection. Intraoral view of the patient with the Interim removable partial denture.

In the second case report, the downward rotation of mandible was significant as the resection involved mandibular canine. J Maxillofac Oral Surg. Also, some posthesis do not keep the contributors informed about the progress of the review process. This case series describes different types of guiding flange GF prosthesis with modifications for three hemimandibulectomy patients at different time interval after surgery.

Prosthetic management of edentulous mandibulectomy patients. In spite of all 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.

GF prosthesis guides the remaining mandible to proper and stable occlusion and trains the mandibular movements after hemimandibulectomy.


It has grown considerably and I feel it has already grown up from its infancy to adolescence, achieving the status of standard online e-journal form Indian continent since its inception in Feb Surgical resection owing to various reasons disrupts these functions.

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

Postsurgical radiographs revealed no grafts were placed to reconstruct the defect, but the discontinuity of the mandible was restored using bone plate [ Figure 1 ]. Definitive mandibular guidance therapy would help the patients in such cases to establish an acceptable occlusion by re-educating the mandibular muscles and undergo normal function and mastication.

Authors have a great responsibility for producing facts of their work in terms of number and results mandibulr and an individual honesty is expected from authors in this regards. Related articles Customized flange denture prosthesis guiding flange hemimandibulectony segmental resection.

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. J Maxillofac Oral Surg ; 8: Manuscriptspublished in JCDR are available on major search engines ie; google, yahoo, msn.

The fabrication of cast metal guidance flange prostheses for a patient with segmental mandibulectomy: Mandibular resection guidance prostheses: The journal is contributing immensely to the society at national and international level. Intraoral view showing loss of alveolar ridge on left side with vestibular obliteration Arrows showing thick freely movable tissues and note the deviation of flanye mandible.

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

The location and extent of surgery, the effect of radiation therapy, the presence or absence of teeth and the psychological aspect[ 6 ]. Key Message In patients who have undergone mandibular resection, correct intercuspal position can be accomplished with the early use of Guide flange prosthesis combined with physiotherapy. Successful intercuspal position was accomplished through the use of the guidance appliance, combined with physiotherapy in a patient who underwent a hemisection of pdosthesis mandible, subsequent to treatment for an ameloblastoma.


My experiences of publishing with JCDR: Anatomic, physiologic, and psychologic considerations.

The guide flange extended superiorly and diagonally on the buccal surface of the molars and the premolars, allowing the normal horizontal and vertical overlap of the left maxillary teeth. JCDR provides authors help in this regards. 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. Moreover being a multi-specialty journal an article concerning a particular specialty has a wider reach of readers of other related specialties also.

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

The basic objective in rehabilitation is retraining the remaining mandibular muscles to provide an acceptable maxillo-mandibular relationship of the remaining portion of the mandible[ 7 ]. The GFP prosthseis tried in patient’s mouth and the initial stability and retention was checked. Journal Information of This Article. Prosthesis guided the mandible in a definite closing point.

It aims to reach out to the grass-root level researchers who do not lack in experience, clinical material and ideas, but lack in their knowledge in English language and statistics.