IP Annals of Prosthodontics and Restorative Dentistry

Print ISSN: 2581-4796

Online ISSN: 2581-480X

IP Annals of Prosthodontics and Restorative Dentistry (APRD) open access, peer-reviewed quarterly journal publishing since 2015 and is published under the Khyati Education and Research Foundation (KERF), is registered as a non-profit society (under the society registration act, 1860), Government of India with the vision of various accredited vocational courses in healthcare, education, paramedical, yoga, publication, teaching and research activity, with the aim of faster and better dissemination of knowledge, we will be publishing the article more...

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Case Report


Article page

79-81


Authors Details

Ishan Roy Choudhury*, Kritika Rajan, Jayanta Bhattacharyya, Amit Ray


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Prosthesis for mandibular guidance therapy – A case series


Case Report

Author Details : Ishan Roy Choudhury*, Kritika Rajan, Jayanta Bhattacharyya, Amit Ray

Volume : 4, Issue : 3, Year : 2018

Article Page : 79-81

https://doi.org/10.18231/2581-480X.2018.0022



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Abstract

This article shows the importance of an intra-oral guiding flange prosthesis in patients who have undergone resection of mandible due to an underlying pathology. The case series show how the use of a guidance prosthesis can re-educate the mandibular muscles and re-establish an occlusal relationship for the resected mandible. Fabrication of a Guiding flange prosthesis was done for patient’s reporting to the department of Prosthodontics, with a significant deviation of mandible causing a deranged occlusion. Utilisation of various intra-oral prosthesis designs to overcome the deranged forces of the mandibular muscles have been shown. Basic designs used for fabricating the guidance prosthesis were buccal-based (maxillary based), palatal-based (maxillary based) and mandibular-based guidance. The re-establishment of the occlusal relationship was successful with the use, of any of the basic designs, of a guiding prosthesis. The patients could maintain a healthy occlusal relationship even after cessation of the therapy. This case series gives an insight as to how a Guidance prosthesis can be utilized either on an interim basis or as a part of definitive treatment too, although the success depends on the nature of surgical defect, patient's cooperation and early physiotherapy program.

Keywords: Guiding flange, Mandibular defect, Occlusal correction


How to cite : Choudhury I R, Rajan K , Bhattacharyya J , Ray A , Prosthesis for mandibular guidance therapy – A case series. IP Ann Prosthodont Restor Dent 2018;4(3):79-81

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