Fattore L, Marchmont-Robinson H, Crinzi R A, Edmonds D C
Zoller Dental Clinic, University of Chicago, Ill.
Oral Surg Oral Med Oral Pathol. 1988 Dec;66(6):662-5. doi: 10.1016/0030-4220(88)90313-1.
Prosthodontic restoration in edentulous patients who have undergone hemisection of the mandible is difficult because of the instability of the mandible after resection and the lack of teeth necessary for successful retention of a guidance appliance. Successful prosthodontic restoration was accomplished through the use of a two-piece Gunning splint both for intermaxillary fixation and as a guidance appliance in an edentulous patient who underwent a hemisection of the mandible subsequent to treatment for an ameloblastoma. Because mandibular guidance therapy is most successful in patients whose resection involves only bony structures with minimal loss of soft tissue and no radical neck dissection or radiation therapy, the patient treated for ameloblastoma is an ideal candidate for the use of a two-piece Gunning splint for intermaxillary fixation and mandibular guidance therapy.
对于接受过下颌骨半切术的无牙患者，由于切除后下颌骨的不稳定性以及缺乏成功固定引导装置所需的牙齿，进行口腔修复是困难的。在一名因成釉细胞瘤接受治疗后又接受了下颌骨半切术的无牙患者中，通过使用两件式甘氏夹板进行颌间固定并作为引导装置，成功完成了口腔修复。由于下颌引导治疗在切除仅涉及骨结构、软组织损失最小且未进行根治性颈部清扫或放疗的患者中最为成功，因此因成釉细胞瘤接受治疗的患者是使用两件式甘氏夹板进行颌间固定和下颌引导治疗的理想人选。
