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Prosthetic Management of Severe Mandibular Deviation in a Hemi-Mandibulectomy Patient Following Osteoradionecrosis

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D.O.I.
10.1922/EJPRD_2229Chin11
Authors
  • Jann Siew Chin
  • Olivia J. Barratt
  • Dr Matthew B M Thomas

Abstract

Rehabilitation of a patient after hemi-mandibulectomy without reconstruction represents a prosthodontic challenge. Indeed, mandibular deviation and decreased occlusal contacts are a common presentation post-surgery. This paper reports on a patient who presented with these challenges and where chronic osteoradionecrosis has resulted in significant mandibular deviation. A maxillary cobalt chrome mandibular deviation device, designed with palatal bite plane and constructed using 3D printing methods, resulted in a successful outcome. The authors aim to show how restorative management of similar patients can be successful using a modern approach.
Keywords
Selective Laser Sintering
3D Printing
Osteoradionecrosis
Removable Partial Dentures
Hemi-Mandibulectomy