A PROSTHETIC REHABILITATION OF HEMIMANDIBULECTOMY PATIENTS WITH TWIN OCCLUSION - A CASE REPORT

Segmental resection of the mandible frequently marks in the deviation of mandible toward the defective side. The quantity of deviation depends on the amount of hard and soft tissue involvement, method of surgical site closure, degree of impaired tongue function, number of remaining teeth and the extent of loss of sensory and motor innervations. The management for such patients are surgical re-establishment of resected part, physiotherapy and prosthodontic intervention. 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 case report presents a technique of restoring oral function for a hemimandibulectomy patient by twin occlusion prosthesis which provide a broader occlusal table and improved masticatory efficiency in an edentulous madibulectomy patient.