European Journal of Prosthodontics and Restorative Dentistry

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

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Cover Date

June 2022

Print ISSN

0965-7452

Electronic ISSN

2396-8893

Vol

30

Issue

2

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