Fabrication of cast metal guidance flange prosthesis for a patient with segmental mandibulectomy: A clinical report

Introduction: Mandibular resection usually results in altered mandibular movements, disfigurement, and difficulty in swallowing, impaired speech/articulation and deviation of the mandible toward the resected site. To overcome this impairment, numerous prosthetic methods, such as maxillomandibular fixation, implant supported prosthesis, removable mandibular guide flange prosthesis, and palatal based guidance restoration have been employed to reduce or minimize deviation and to improve function. However, the management of these mandibular resected patients is difficult. Case Report: This article tries to describe step by step prosthetic management of a patient, who has suffered from mandibular resection. Conclusion: This treatment modality seems to be the treatment of choice. In our patient, the adequate intercuspal position was obtained but due to compromised tongue mobility, the guide flange prosthesis, like other treatment options could not improve patient’s mastication ideally