Non Surgical Correction of Mandibular Deviation and Neuromuscular Coordination after Two years of Mandibular Guidance Therapy: A Case Report
Identifieur interne : 000118 ( Pmc/Corpus ); précédent : 000117; suivant : 000119Non Surgical Correction of Mandibular Deviation and Neuromuscular Coordination after Two years of Mandibular Guidance Therapy: A Case Report
Auteurs : Bijay Singh ; Nidhi Sinha ; Rohit Sharma ; Narzi ParekhSource :
- Journal of Clinical and Diagnostic Research : JCDR [ 2249-782X ] ; 2015.
Abstract
Carcinomas of the mandible may require resection of a segment of bone (continuity defect), partial removal of bone (discontinuity defect), tongue, and floor of the mouth and muscle attachments. Patients undergoing such treatment suffer from facial disfigurement, loss of muscle function, loss of neuromuscular coordination resulting in inability to masticate and swallow acceptably. Surgical reconstruction may not always be possible because of high reoccurrence rate, inability of the patient to cope with another surgery etc. The treatment of choice in non surgical cases is prosthetic rehabilitation using guiding flange prosthesis. This article describes the management of a patient who had undergone hemimandibulectomy and was not willing for a surgical reconstruction. Interim maxillary ramp prosthesis was given to the patient 15 days postoperatively followed by definitive guiding flange prosthesis for two years after which the patient was able to occlude in centric occlusal position without any aid.
Url:
DOI: 10.7860/JCDR/2015/16309.6730
PubMed: 26673016
PubMed Central: 4668531
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PMC:4668531Le document en format XML
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<author><name sortKey="Singh, Bijay" sort="Singh, Bijay" uniqKey="Singh B" first="Bijay" last="Singh">Bijay Singh</name>
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<author><name sortKey="Sinha, Nidhi" sort="Sinha, Nidhi" uniqKey="Sinha N" first="Nidhi" last="Sinha">Nidhi Sinha</name>
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<author><name sortKey="Sharma, Rohit" sort="Sharma, Rohit" uniqKey="Sharma R" first="Rohit" last="Sharma">Rohit Sharma</name>
<affiliation><nlm:aff id="aff3"> Senior Lecturer, Department of Prosthodontics,<institution>Jodhpur Dental College General Hospital</institution>
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<author><name sortKey="Parekh, Narzi" sort="Parekh, Narzi" uniqKey="Parekh N" first="Narzi" last="Parekh">Narzi Parekh</name>
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<series><title level="j">Journal of Clinical and Diagnostic Research : JCDR</title>
<idno type="ISSN">2249-782X</idno>
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<imprint><date when="2015">2015</date>
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<front><div type="abstract" xml:lang="en"><p>Carcinomas of the mandible may require resection of a segment of bone (continuity defect), partial removal of bone (discontinuity defect), tongue, and floor of the mouth and muscle attachments. Patients undergoing such treatment suffer from facial disfigurement, loss of muscle function, loss of neuromuscular coordination resulting in inability to masticate and swallow acceptably. Surgical reconstruction may not always be possible because of high reoccurrence rate, inability of the patient to cope with another surgery etc. The treatment of choice in non surgical cases is prosthetic rehabilitation using guiding flange prosthesis. This article describes the management of a patient who had undergone hemimandibulectomy and was not willing for a surgical reconstruction. Interim maxillary ramp prosthesis was given to the patient 15 days postoperatively followed by definitive guiding flange prosthesis for two years after which the patient was able to occlude in centric occlusal position without any aid.</p>
</div>
</front>
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<pmc article-type="case-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Clin Diagn Res</journal-id>
<journal-id journal-id-type="iso-abbrev">J Clin Diagn Res</journal-id>
<journal-id journal-id-type="hwp">Journal of Clinical and Diagnostic Research</journal-id>
<journal-id journal-id-type="publisher-id">JCDR</journal-id>
<journal-title-group><journal-title>Journal of Clinical and Diagnostic Research : JCDR</journal-title>
</journal-title-group>
<issn pub-type="ppub">2249-782X</issn>
<issn pub-type="epub">0973-709X</issn>
<publisher><publisher-name>JCDR Research and Publications (P) Limited</publisher-name>
<publisher-loc>Delhi, India</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26673016</article-id>
<article-id pub-id-type="pmc">4668531</article-id>
<article-id pub-id-type="doi">10.7860/JCDR/2015/16309.6730</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Dentistry Section</subject>
<subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group><article-title>Non Surgical Correction of Mandibular Deviation and Neuromuscular Coordination after Two years of Mandibular Guidance Therapy: A Case Report</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Singh</surname>
<given-names>Bijay</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sinha</surname>
<given-names>Nidhi</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sharma</surname>
<given-names>Rohit</given-names>
</name>
<xref ref-type="aff" rid="aff3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Parekh</surname>
<given-names>Narzi</given-names>
</name>
<xref ref-type="aff" rid="aff4">4</xref>
</contrib>
</contrib-group>
<aff id="aff1"><label>1</label>
Professor, Department of Prosthodontics,<institution>Jodhpur Dental College General Hospital</institution>
,<addr-line>Rajastahn, India</addr-line>
.</aff>
<aff id="aff2"><label>2</label>
Reader, Department of Conservative Dentistry and Endodontics,<institution>Jodhpur Dental College General Hospital</institution>
,<addr-line>Rajastahn, India</addr-line>
.</aff>
<aff id="aff3"><label>3</label>
Senior Lecturer, Department of Prosthodontics,<institution>Jodhpur Dental College General Hospital</institution>
,<addr-line>Rajastahn, India</addr-line>
.</aff>
<aff id="aff4"><label>4</label>
Post Graduate, Department of Prosthodontics,<institution>Jodhpur Dental College General Hospital</institution>
,<addr-line>Rajastahn, India</addr-line>
.</aff>
<author-notes><corresp id="cor1">NAME, ADDRESS, E-MAIL ID OF THE CORRESPONDING AUTHOR: Dr. Bijay Singh, Smile N Shine Dental Care, Preksha Hospital Pal Road, Jodhpur-342001, Rajastahn, India. E-mail : <email>drvijay7in@yahoo.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>11</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub"><day>01</day>
<month>11</month>
<year>2015</year>
</pub-date>
<volume>9</volume>
<issue>11</issue>
<fpage>ZD07</fpage>
<lpage>ZD09</lpage>
<history><date date-type="received"><day>17</day>
<month>8</month>
<year>2015</year>
</date>
<date date-type="rev-request"><day>06</day>
<month>9</month>
<year>2015</year>
</date>
<date date-type="accepted"><day>05</day>
<month>10</month>
<year>2015</year>
</date>
</history>
<permissions><copyright-statement>© 2015 Journal of Clinical and Diagnostic Research</copyright-statement>
<copyright-year>2015</copyright-year>
</permissions>
<abstract><p>Carcinomas of the mandible may require resection of a segment of bone (continuity defect), partial removal of bone (discontinuity defect), tongue, and floor of the mouth and muscle attachments. Patients undergoing such treatment suffer from facial disfigurement, loss of muscle function, loss of neuromuscular coordination resulting in inability to masticate and swallow acceptably. Surgical reconstruction may not always be possible because of high reoccurrence rate, inability of the patient to cope with another surgery etc. The treatment of choice in non surgical cases is prosthetic rehabilitation using guiding flange prosthesis. This article describes the management of a patient who had undergone hemimandibulectomy and was not willing for a surgical reconstruction. Interim maxillary ramp prosthesis was given to the patient 15 days postoperatively followed by definitive guiding flange prosthesis for two years after which the patient was able to occlude in centric occlusal position without any aid.</p>
</abstract>
<kwd-group><kwd>Guiding flange prosthesis</kwd>
<kwd>Hemimandibulectomy</kwd>
<kwd>Interim maxillary ramp</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
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