Bulletin of Stomatology and Maxillofacial Surgery
ISSN 1829-006X
2025; 84–88
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RESTORING FUNCTION AND QUALITY OF LIFE: A CASE REPORT OF FIXED FUNCTIONAL GUIDE FLANGE PROSTHESIS IN HEMI MANDIBULECTOMY REHABILITATION

Hema Kanathila*, Karuna Patwardhan, Santosh Nelogi, Shetty Santosh, Rahul Bhandary, Akshata Okade, Suvidha Patil, Chitra Jhugroo

Department of Prosthodontics and Crown & Bridge, KAHERs KLE VK Institute of Dental Sciences, Belagavi- 590010, India. · , Department of Prosthodontics and Crown & Bridge, KAHERs KLE VK Institute of Dental Sciences, Belagavi 590010, India · Department of Prosthodontics and Crown & Bridge, KAHERs KLE VK Institute of Dental Sciences, Belagavi 590010, India · Department of Oral and Maxillofacial Surgery, Sharavathi Dental College and Hospital, Shivamogga · Department of Periodontology, A B Shetty Memorial Institute of Dental Sciences, NITTE(Deemed to be University) Mangalore. · . Reader, Department of Oral Pathology, Sharavathi Dental College and Hospital, Shivamogga · Lecturer, Department of Prosthodontics and Crown & Bridge, KAHERs KLE VK Institute of Dental Sciences, Belagavi 590010, India · Nano Dental and Medical Ltd, Solferino, Kistoo Lane, Vacoas, Mauritius. E

Received: 2026-04-08 · Published: 2025-05-28

© 2025 The Author(s) and the original publisher.

CC BY-NC 4.0 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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Original title
RESTORING FUNCTION AND QUALITY OF LIFE: A CASE REPORT OF FIXED FUNCTIONAL GUIDE FLANGE PROSTHESIS IN HEMI MANDIBULECTOMY REHABILITATION
Authors
Hema Kanathila, Karuna Patwardhan, Santosh Nelogi, Shetty Santosh, Rahul Bhandary, Akshata Okade, Suvidha Patil, Chitra Jhugroo
Source journal
Bulletin of Stomatology and Maxillofacial Surgery
Published
2025-05-28
Licence
Creative Commons Attribution-NonCommercial 4.0 International
Original
https://doi.org/10.58240/1829006x-2025.21.5-84

Abstract

Hemi mandibulectomy, as a surgical removal of one lateral half of the mandible, tends to result in patients with considerable esthetic and functional deficits such as mandibular deviation, masticatory disability, speech defect, and facial asymmetry. Prosthetic rehabilitation is required to restore function and quality of life for such individuals. The present case report illustrates prosthodontic rehabilitation of a 65-year-old man who had undergone right hemi mandibulectomy. A fixed guide flange prosthesis was designed and made for mandibular guidance and prevention of deviation on closure. The prosthesis harnessed the available dentition to stabilize it and provided a mechanical guide plane for optimal occlusion. The patient exhibited significant improvement in masticatory efficiency, mandibular control, and overall oral function. This case demonstrates the effectiveness of a fixed guide flange prosthesis in rehabilitation following post-hemi mandibulectomy and emphasizes the significance of early prosthodontic intervention.
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