PURPOSE The limitations and morbidity associated with autogenous bone grafting have driven the search for predictable bone substitutes and bioimplants. A novel method of reconstruction was tested in this case series. MATERIALS AND METHODS Ten patients with major mandibular defects following resection of biopsy-proven ameloblastoma lesions or osteomyelitis of the mandibular body or ramus were ...

The objective of any prosthodontic service is to restore the patient to normal function, contour, esthetics, speech and health. An optimum denture stability is difficult to achieve in conventional complete dentures especially in case of extremely resorbed mandibular ridges. Often patients with oral carcinomas have resection of the tongue, the floor of the mouth or the bone of the mandible. Post...

PATIENT A 70-year-old patient with reconstructed mandibulectomy presented to our clinic with a complaint of denture instability. Due to left mandibular gingival cancer, she had received segmental resection of the left mandible and reconstruction with the fibula. An intraoral examination revealed few intermaxillary occlusal contacts due to the deviation of the mandibular dental arch. A mandibula...

Received 25 March 2012 Revised 30 June 2012 Accepted 31 July 2012 Early online 30 August 2012 Print 31 August 2012 Segmental resection of the mandible generally results in deviation of the mandible to the defective side. This loss of continuity of the mandible destroys the balance of the lower face and leads to decreased mandibular function by deviation of the residual segment toward the surgic...

Loss of mandibular continuity results in deviation of remaining mandibular segment toward the resected side primarily because of the loss of tissue involved in the surgical resection. The success in rehabilitating a patient with hemimandibulectomy depends upon the nature and extent of the surgical defect, treatment plan, type of prosthesis, and patient co-operation. The earlier the mandibular g...

Loss of continuity of the mandible leads to deviation of the residual segment towards the surgical site and alteration in muscle function. This results in facial asymmetry and malocclusion. A corrective device known as 'guide flange prosthesis' is indicated to limit this clinical manifestation. Guide flange prosthesis serves as a training device. It can successfully guide the patient to close t...

In cases of a malignant tumor at the posterior region of the mandibular gingiva, a submandibular approach is usually chosen for secure resection of the lesion. This technique allows a good view of the surgical site and makes the operative procedure relatively easy. However, this approach is more surgically invasive and increases the operating time. On the other hand, it is difficult to resect t...

OBJECTIVES Mandibular resection for oral cancer is often necessary to achieve an adequate margin of tumor clearance.Mandibular resection has been associated with a poor health-related quality of life (HRQOL), particularly before free fibula flap to reconstruct the defect. The aim of this study was to evaluate health-related quality of life in patients who have had mandibular resections of oral ...

AIM To analyse the occurrence of canal isthmuses in molars following root-end resection. METHODOLOGY The material consisted of 56 mandibular and 32 maxillary first molars subjected to periradicular surgery. Based on radiographic, clinical, as well as intraoperative status, only roots with associated pathological lesions were treated. In total, 124 roots were resected (80 mandibular and 44 max...