Non-surgical Approach to Correcting Severe Neglected Mandibular Asymmetry: Case Reports

Document Type : Case series/reports

Authors

1 Department of Prosthodontics, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research (DU).

2 Department of Prosthodontics, Sri Ramachandra Dental College & Hospital, Sri Ramachandra Institute of Higher Education & Research.

3 Department of Prosthodontics, SRDC & H, SRIHER (DU)

4 Department of Prosthodontics and Crown & Bridge, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research, (DU), Porur, Chennai- 600 116

Abstract

Aim: The loss of mandibular continuity due to tumour ablative surgery can pose challenges ‎at a functional and aesthetic level. The primary concern with rehabilitation is the ‎management of mandibular deviation, which when not corrected surgically, would need ‎prosthetic intervention. Mandibular guidance therapy works in principle by reprogramming ‎the mandible and associated muscles into an acceptable occlusal relationship, conducive to ‎rehabilitation. ‎
Case presentation: This case report discusses two patients: one presenting two weeks post-‎surgery and the other twelve weeks post-surgery. The report highlights the initial condition ‎of the stomatognathic system, the challenges encountered in managing mandibular ‎deviation, and the outcomes achieved through interdisciplinary treatment planning.‎
Conclusion: The outcome of prosthetic intervention post-surgery and subsequent ‎rehabilitation procedures is largely time dependent. In severe deviation with restricted ‎mobility, a holistic approach that includes immediate prosthetic intervention and supportive ‎therapy in the form of joint mobilization exercises is vital in improving mobility of the jaw.‎
 

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