Agarwal Swatantra, Agarwal Samarth Kumar, Sharma Sankalp
Department of Prosthodontics, Kothiwal Dental College and Research Centre, Moradabad, UP 244001 India.
J Indian Prosthodont Soc. 2011 Dec;11(4):254-7. doi: 10.1007/s13191-011-0091-8. Epub 2011 Aug 12.
Loss of continuity of the mandible destroys the balance and symmetry of mandibular function, leading to altered mandibular movements and deviation of the residual fragment towards the resected side. Prosthodontic treatment along with physical therapy may be useful in reducing mandibular deviation and improving masticatory efficiency. Numerous prosthetic methods are employed to minimize deviation and improve masticatory efficiency which includes implant supported prosthesis, mandibular guide flange prosthesis, and palatal based guidance restoration. This article describes rehabilitation of hemimandibulectomy patient using twinned teeth (two rows of teeth) on the unresected side in the maxillary edentulous arch for whom implant supported prosthesis, mandibular guide flange prosthesis or palatal based guide flange prosthesis cannot be fabricated to improve the masticatory efficiency.
下颌骨连续性的丧失破坏了下颌功能的平衡与对称,导致下颌运动改变以及残余骨块向切除侧偏斜。修复治疗联合物理治疗可能有助于减少下颌偏斜并提高咀嚼效率。为尽量减少偏斜并提高咀嚼效率,人们采用了多种修复方法,包括种植体支持的修复体、下颌导板修复体和腭部导向修复体。本文描述了对上颌无牙弓未切除侧采用孪生牙(两排牙齿)修复半侧下颌骨切除患者的方法,这类患者无法制作种植体支持的修复体、下颌导板修复体或腭部导向修复体来提高咀嚼效率。