Oral Rehabilitation of Segmental Mandibulectomy with Extensive Fibrosis- A Daunting Obstacle for the Maxillofacial Prosthodontist
The fifth most frequent malignancy worldwide is head and neck cancer. Following surgical removal of lesions of the oral cavity, mandibular resection can result in undesirable effects, such as altered mandibular movements, disfigurement, dysphagia, impaired speech, and deviation of the mandible in...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2023-07-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/18175/63264_CE[Ra1]_F(IS)_PF1(AB_SS)_PFA(AB_KM)_PN(KM).pdf |
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| author | Raisa Natasha Chodankar Aditya Acharya Raghunath Patil |
| author_facet | Raisa Natasha Chodankar Aditya Acharya Raghunath Patil |
| author_sort | Raisa Natasha Chodankar |
| collection | DOAJ |
| description | The fifth most frequent malignancy worldwide is head and neck cancer. Following surgical removal of lesions of the oral cavity,
mandibular resection can result in undesirable effects, such as altered mandibular movements, disfigurement, dysphagia, impaired
speech, and deviation of the mandible in the direction of the resected site. After a marginal or segmental mandibulectomy, prompt
rehabilitation is preferred since aesthetic and functional deficiencies impair a patient’s quality of life. The contribution of maxillofacial
prosthodontists safeguards the prosthetic viability, driven by a prosthetic proposed plan. Maxillofacial prosthodontists should be
included from the start, and they play a crucial and directing role in this procedure. This article specifies the treatment of a 52-yearold male patient with extensive fibrosis who had a reduced mouth opening as a result of right side segmental mandibulectomy. The
mandible was difficult to manipulate into occlusion due to considerable fibrosis that had formed over time, thus a guiding flange
prosthesis was not employed in this case. To address the patient’s inability to chew food, a double occlusion table was designed
using the remaining maxillary teeth. A 3-month follow-up was performed, as well as the Oral Health Impact Profile-14 (OHIP-14)
was done prior to and following the treatment.
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| first_indexed | 2024-03-12T22:38:34Z |
| format | Article |
| id | doaj.art-7ec9df35e17341168888abf89a8163ac |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-03-12T22:38:34Z |
| publishDate | 2023-07-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-7ec9df35e17341168888abf89a8163ac2023-07-21T11:17:42ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-07-01177121410.7860/JCDR/2023/63264.18175Oral Rehabilitation of Segmental Mandibulectomy with Extensive Fibrosis- A Daunting Obstacle for the Maxillofacial ProsthodontistRaisa Natasha Chodankar0Aditya Acharya1Raghunath Patil2Postgraduate Student, Department of Prosthodontics Crown and Bridge, KAHER, KLE VK Institute of Dental Sciences, Belagavi, Karnataka, India.Reader, Department of Prosthodontics Crown and Bridge, KAHER, KLE VK Institute of Dental Sciences, Belagavi, Karnataka, India.Professor, Department of Prosthodontics Crown and Bridge, KAHER, KLE VK Institute of Dental Sciences, Belagavi, Karnataka, India.The fifth most frequent malignancy worldwide is head and neck cancer. Following surgical removal of lesions of the oral cavity, mandibular resection can result in undesirable effects, such as altered mandibular movements, disfigurement, dysphagia, impaired speech, and deviation of the mandible in the direction of the resected site. After a marginal or segmental mandibulectomy, prompt rehabilitation is preferred since aesthetic and functional deficiencies impair a patient’s quality of life. The contribution of maxillofacial prosthodontists safeguards the prosthetic viability, driven by a prosthetic proposed plan. Maxillofacial prosthodontists should be included from the start, and they play a crucial and directing role in this procedure. This article specifies the treatment of a 52-yearold male patient with extensive fibrosis who had a reduced mouth opening as a result of right side segmental mandibulectomy. The mandible was difficult to manipulate into occlusion due to considerable fibrosis that had formed over time, thus a guiding flange prosthesis was not employed in this case. To address the patient’s inability to chew food, a double occlusion table was designed using the remaining maxillary teeth. A 3-month follow-up was performed, as well as the Oral Health Impact Profile-14 (OHIP-14) was done prior to and following the treatment. https://www.jcdr.net/articles/PDF/18175/63264_CE[Ra1]_F(IS)_PF1(AB_SS)_PFA(AB_KM)_PN(KM).pdfdental prosthesis designhead and neck oncologymandibular defectsmaxillofacial prosthesisoral health-related quality of life |
| spellingShingle | Raisa Natasha Chodankar Aditya Acharya Raghunath Patil Oral Rehabilitation of Segmental Mandibulectomy with Extensive Fibrosis- A Daunting Obstacle for the Maxillofacial Prosthodontist Journal of Clinical and Diagnostic Research dental prosthesis design head and neck oncology mandibular defects maxillofacial prosthesis oral health-related quality of life |
| title | Oral Rehabilitation of Segmental Mandibulectomy with Extensive Fibrosis- A Daunting Obstacle for the Maxillofacial Prosthodontist |
| title_full | Oral Rehabilitation of Segmental Mandibulectomy with Extensive Fibrosis- A Daunting Obstacle for the Maxillofacial Prosthodontist |
| title_fullStr | Oral Rehabilitation of Segmental Mandibulectomy with Extensive Fibrosis- A Daunting Obstacle for the Maxillofacial Prosthodontist |
| title_full_unstemmed | Oral Rehabilitation of Segmental Mandibulectomy with Extensive Fibrosis- A Daunting Obstacle for the Maxillofacial Prosthodontist |
| title_short | Oral Rehabilitation of Segmental Mandibulectomy with Extensive Fibrosis- A Daunting Obstacle for the Maxillofacial Prosthodontist |
| title_sort | oral rehabilitation of segmental mandibulectomy with extensive fibrosis a daunting obstacle for the maxillofacial prosthodontist |
| topic | dental prosthesis design head and neck oncology mandibular defects maxillofacial prosthesis oral health-related quality of life |
| url | https://www.jcdr.net/articles/PDF/18175/63264_CE[Ra1]_F(IS)_PF1(AB_SS)_PFA(AB_KM)_PN(KM).pdf |
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