Natural Sciences, Stomotology, 2026
ISSN: 1829-006X
RESTORING FUNCTION AND QUALITY OF LIFE: A CASE REPORT OF FIXED FUNCTIONAL GUIDE FLANGE PROSTHESIS IN HEMI MANDIBULECTOMY REHABILITATION
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Submitted: 2026-04-08
© 2026 by author(s) and The Gufo Inc.
This work is licensed under Creative Commons Attribution–NonCommercial International License
(CC BY-NC 4.0).
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.