Prosthodontic Rehabilitation of Segmental Mandiblectomy Patient with Mandibular Guidance Prosthesis

difficulty in swallowing, problems with mastication and severe esthetic disfigurement. Improving esthetics and mastication are the reasonable objectives in these patients.2 The functional disabilities of mandible resections are primarily dependant on the amount resected, method of closure and amount of deviation of mandible. For successful prosthodontic rehabilitation of a segmental mandiblectomy patient, the part of bony mandible and the teeth that remains has to articulate with normal structures of maxilla. Several prosthesis have been used to reduce or eliminate mandibular deviation like intermaxillary fixation, guidance ramp in the maxillary,3 cast metal mandibular resection restoration,4 acrylic guiding flange, cast metal guidance flange prosthesis5 crowns with the maxillary prosthesis to guide hemimandible,6 functionally moulded palatal ramp7 and twin occlusal table in the maxillary arch.8 This case report describes treatment of a patient, who underwent right segmental mandiblectomy with an acrylic mandibular guiding appliance.