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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The flange of GFP was localized to three teeth two premolars and a first molar to avoid possible dislodging forces in the anterior lingual sulcus area i. Having published in more than 20 high impact journals over the last five years including several high impact ones and reviewing articles for even more journals across my fields of interest, we value our published work in JCDR for their high standards in publishing scientific articles.

To progress, one needs to identify the areas of one’s weakness and to strengthen them. The primary objective of rehabilitation is the restoration of appearance and function.

The absence of the muscle of mastication on the surgical side results in a significant rotation of the mandible upon forceful closure. The prosthesis was tried in patient mouth and checked for retention and stability. Prosthetic management of edentulous mandibulectomy patients. The prosthesis extended till the lingual sulcus on palatal non resected side. Use of a guide plane for maintaining the residual fragment in partial or hemimandibulectomy.

Ameloblastoma, Dental prosthesis design, Fibula free-flap, Mandibular prosthesis, Maxillofacial prosthesis, Segmental mandibulectomy.


The mandibular defect was classified as Cantor and Curtis Class II that is lateral resection of the mandible distal to cuspid[ 4 ].

J Craniomaxillofac Surg ; Apply as Reviewer Reviewers Acknowledgment. Mandibular resection prostheses should be provided to restore the mastication within the unique movement capabilities of the residual function in the mandible. A wax interocclusal record was obtained by guiding the mandible into the prostheis possible occlusal relationship. Mandibilar yearly reward for the best article authored can also incentivize the authors. Reviewing articles is no less a pain staking process and requires in depth perception, knowledge about the topic for review.

The prosthesis was finished and polished Figure 2. I never thought it would be so easy. In the era of fast growing newer technologies, and in computer and internet friendly environment the manuscripts preparation, submission, review, revision, etc and all can be done and checked with a click from all corer of the world, at any time.

The acrylic guide flange prosthesis which is presented here is a simple and cost effective method for managing the mandibular deviation. The retention was provided by the interdental clasp, engaging the premolars and the molars.

Case flannge of three patients. Thus the smooth gliding flange surface was developed intraorally to guide the mandible in a definite closing point rather than the area in occlusion.

Acrylic resin was added little by little to the guide flange until there was smooth guidance of the mandible to proper occlusion without any interference.

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

Case Report A 30 year old female reported to the Dental Prosthesis Service with a chief complaint of difficulty in mastication and speech. This is one of the great reasons for authors to submit their work with JCDR.


They further stated that fabrication of a provisional guide plane facilitates the fabrication of a definitive restoration. Completed modified guide flange prosthesis.

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

Rajendra Mandibulae Ghritlaharey “I wish to thank Dr. The earlier the mandibular guidance therapy is initiated in the course of treatment; the more successful is the patient’s definitive occlusal relationship. The journal is contributing immensely to the society at national and international level. This is a well written manuscript exposing the experience of the authors in such particular field. As an experienced dentist and an academician, I proudly recommend guode journal to the dental fraternity as a good quality open access platform for rapid communication of their cutting-edge research progress and discovery.

Mandibular guidance therapy begins when the immediate postsurgical sequelae have subsided, guice within 2 to 3 weeks after surgery. Therefore, dual purpose definitive metal guidance prosthesis was fabricated to provide the patient with proper function and esthetics and to re-educate the prosthess muscles into an acceptable occlusal relationship.

Editorial processing and peer review can take anywhere between a year to two years with some journals. The patient was advised to use the guide flange device throughout the day, except at night and during meals.